Chestnut Family Dental, LLC
Clinic/Center, Dental in Manchester, NH. Organization (NPI-2).
Details
- NPI
- 1295956944
- Entity type
- Organization (NPI-2)
- Legal business name
- Chestnut Family Dental, LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Last updated
- Aug 22, 2020
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 | 3147 | NH | Yes |
| 261QD0000X | Clinic/Center, Dental | 3178 | NH |
Practice location
745 Chestnut StManchester, NH 03104-3002
Phone 603-622-7173 · Fax 603-668-2709
Mailing address
745 Chestnut StManchester, NH 03104-3002
Phone 603-622-7173 · Fax 603-668-2709
Authorized official
Karen Anne Kenney
Office Manager
6036227173
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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