Organization
GREAT BAY ORAL SURGERY ASSOCIATES PA
Active
Organization
GREAT BAY ORAL SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S SCARAMELLA RN (PRACTICE ADMINSTRATOR)
(603) 692-6598
Entity
Organization
Contact information
Practice address
259 ROUTE 108, SOMERSWORTH, NH 03878-1512
(603) 692-6598
(603) 692-6935
Mailing address
259 ROUTE 108, SOMERSWORTH, NH 03878-1512
(603) 692-6598
(603) 692-6935
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010615
—
NH
Enumeration date
03/29/2007
Last updated
08/10/2012
Update your record
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