Organization · NPI-2

Alice Peck Day Memorial Hospital

Dentist, Dental Public Health · Lebanon, NH

NPI number1417407388
StatusActive
Last updated in NPPESOct 4, 2016

Details

NPI
1417407388
Entity type
Organization (NPI-2)
Legal business name
Alice Peck Day Memorial Hospital
Organization subpart
Yes
Enumeration date
Oct 4, 2016
Last updated
Oct 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223D0001X Dentist, Dental Public Health1021-VNHYes

Other names

  • Upper Valley Smiles (Doing Business As)

Practice location

10 Alice Peck Day Dr
Lebanon, NH 03766-2900

Phone 603-443-9548 · Fax 603-442-5144

Mailing address

10 Alice Peck Day Dr
Lebanon, NH 03766-2900

Phone 603-448-3121

Authorized official

Susan E Mooney
Ceo/President
6034425672

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