Amoskeag Family Dentistry, LLP
Clinic/Center, Dental in Manchester, NH. Organization (NPI-2).
NPI number1104205707
StatusActive
Last updated in NPPESMay 28, 2015
Details
- NPI
- 1104205707
- Entity type
- Organization (NPI-2)
- Legal business name
- Amoskeag Family Dentistry, LLP
- Organization subpart
- No
- Enumeration date
- May 28, 2015
- Last updated
- May 28, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 03648 | NH | Yes |
Practice location
316 S Main StManchester, NH 03102-4842
Phone 603-627-1301
Mailing address
316 S Main StManchester, NH 03102-4842
Phone 603-627-1301
Authorized official
Jason Sudati
General Partner
6036271301
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