Individual
DR. RICHARD E VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
57 WEBSTER ST, SUITE 112, MANCHESTER, NH 03104-2552
(603) 627-2092
(603) 627-6585
Mailing address
57 WEBSTER ST, SUITE 112, MANCHESTER, NH 03104-2552
(603) 627-2092
(603) 627-6585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1506
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201935Y0NH01
ANTHEM BCBS
NH
05
—
89191935
—
NH
01
—
XR0074
BCBS
MA
Enumeration date
10/16/2006
Last updated
07/08/2007
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