Manchester Dentistry And Braces INC
Dentist, General Practice in Manchester, NH. Organization (NPI-2).
NPI number1164046645
StatusActive
Last updated in NPPESMar 10, 2026
Details
- NPI
- 1164046645
- Entity type
- Organization (NPI-2)
- Legal business name
- Manchester Dentistry And Braces INC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2020
- Certification date
- Mar 10, 2026
- Last updated
- Mar 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – |
Practice location
460 Elm StManchester, NH 03101-2701
Phone 603-760-6000
Mailing address
5 Mount Royal Ave Ste 300Marlborough, MA 01752-1900
Phone 508-872-3072
Other practice locations
50 S Main St
Manchester, NH 03102-4419
Manchester, NH 03102-4419
Phone 603-760-6000 · Fax 603-760-6001
Authorized official
Todd Pachello
Chief Revenue Officer
7204756482
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