Conway Village Dental Pllc

LBN: Conway Village Dental Pllc
Conway Village Dental Pllc is an health care organization with primary practice located at 7 Greenwood Ave Suite 3, Conway NH 03818-6130. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Conway Village Dental Pllc can be contacted via phone (603) 447-6707, or through Ryan, George Gerard via phone (603) 447-6707.

Contact Information

Primary practice address
7 Greenwood Ave Suite 3 Conway NH 03818-6130
Phone: (603) 447-6707
Fax: (603) 447-8376
Website:
Map and Directions
Authorized official contact:
Name: Ryan, George Gerard Doctor of Dental Surgery (DDS)
Phone: (603) 447-6707

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1720248248
LBN Legal business name Conway Village Dental Pllc
DBA Doing business as
Authorized official Ryan, George Gerard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720248248 NPPES
Maine MEDICAID 139600000
Maine MEDICAID 99002725

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