Simply Pediatrics And Orthodontics Of Pelham PLLC
Dentist, Pediatric Dentistry in Pelham, NH. Organization (NPI-2).
NPI number1043774573
StatusActive
Last updated in NPPESMar 13, 2023
Details
- NPI
- 1043774573
- Entity type
- Organization (NPI-2)
- Legal business name
- Simply Pediatrics And Orthodontics Of Pelham PLLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2019
- Certification date
- Mar 13, 2023
- Last updated
- Mar 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
100 Bridge StPelham, NH 03076-3422
Phone 508-589-8270
Mailing address
87 Elm St Ste 302Hopkinton, MA 01748-1638
Phone 508-589-8270
Authorized official
Houssam Alkhoury
Owner
5085298270
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