De Tolla, Daniel H
De Tolla, Daniel H is an individual health care provider with primary practice located at 200 Griffin Rd Suite 8, Portsmouth NH 03801-7145. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. De Tolla, Daniel H can be contacted via phone (603) 436-3608.Contact Information
Primary practice address
200 Griffin Rd Suite 8
Portsmouth NH 03801-7145
Phone: (603) 436-3608
Fax: (603) 436-3646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 3472 | New Hampshire |
Profile Details
| NPI number | 1275576829 |
|---|---|
| LBN Legal business name | De Tolla, Daniel H |
| Credentials | D.D.S., M.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Sep 8th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275576829 | NPPES |
| New Hampshire | MEDICAID | 30303624 |
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