Individual
DR. JOHN A NIESKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
60 HANCOCK ROAD, ROUTE 202 NORTH, PETERBOROUGH, NH 03458-1107
(603) 924-3350
(603) 924-2199
Mailing address
60 HANCOCK ROAD, ROUTE 202 NORTH, PETERBOROUGH, NH 03458-1107
(603) 924-3350
(603) 924-2199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1839
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1839
LIC NUMBER
NH
05
—
30302680
—
NH
Enumeration date
09/14/2007
Last updated
09/14/2007
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