Grace Family Dentistry

LBN: Grace Family Dentistry
Grace Family Dentistry is an health care organization with primary practice located at 143 Airport Rd , Concord NH 03301. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Grace Family Dentistry can be contacted via phone (603) 225-6650, or through Mcculloch, Alex L via phone (603) 225-6650.

Contact Information

Primary practice address
143 Airport Rd Concord NH 03301
Phone: (603) 225-6650
Fax: (603) 225-9495
Website:
Map and Directions
Authorized official contact:
Name: Mcculloch, Alex L Doctor of Dental Surgery (DDS)
Phone: (603) 225-6650

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1604 New Hampshire
Dental Providers / Dentist 122300000X 3170 New Hampshire
Dental Providers / Dentist 122300000X 2389 New Hampshire
Dental Providers / Dentist 122300000X 1478 New Hampshire

Profile Details

NPI number 1861457665
LBN Legal business name Grace Family Dentistry
DBA Doing business as
Authorized official Mcculloch, Alex L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1861457665 NPPES
New Hampshire MEDICAID 30004745
New Hampshire Other 0206510Y0NH01

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