Santavicca, Angela Jean
Santavicca, Angela Jean is an individual health care provider with primary practice located at 367 State Route 120 Unit C, Lebanon NH 03766-1430. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Santavicca, Angela Jean can be contacted via phone (603) 643-4142.Contact Information
Primary practice address
367 State Route 120 Unit C
Lebanon NH 03766-1430
Phone: (603) 643-4142
Fax: (603) 643-1740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2648 | New Hampshire |
Profile Details
| NPI number | 1528199478 |
|---|---|
| LBN Legal business name | Santavicca, Angela Jean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1528199478 | NPPES |
| New Hampshire | Other | 2648 | NH DENTAL LICENSE |
| New Hampshire | MEDICAID | 30310640 | NH DENTAL LICENSE |
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