Individual
DR. JOAN EVERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2 SOUTH MAIN STREET, PLYMOUTH, NH 03264
(603) 536-1445
Mailing address
2 SOUTH MAIN STREET, PLYMOUTH, NH 03264
(630) 536-1445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1991
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001900
—
NH
Enumeration date
04/17/2007
Last updated
10/25/2012
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