| Brian J. Wicenski, Dmd, Mary E. Wicenski, Dmd, Pllc | |
|
27 Newport Road New London NH 03257 | |
| (603) 526-2286 | |
| Not Available |
| Full Name | Brian J. Wicenski, Dmd, Mary E. Wicenski, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 27 Newport Road, New London, New Hampshire |
| Authorized Official Name and Position | Mary Wicenski (MEMBER OF PLLC; DENTIST) |
| Authorized Official Contact | 6035262286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J. Wicenski, Dmd, Mary E. Wicenski, Dmd, Pllc Po Box 1017 New London NH 03257-1017 Ph: () - | Brian J. Wicenski, Dmd, Mary E. Wicenski, Dmd, Pllc 27 Newport Road New London NH 03257 Ph: (603) 526-2286 |
| NPI Number | 1548431323 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548431323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3019, 3020 (New Hampshire) | Primary |
Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Newport Road, New London, NH 03257 Phone: 603-526-6655 Fax: 603-526-6617 |