| Lakeside Smiles Pediatric Dentistry, Pllc | |
|
76 N. Main St. Wolfeboro NH 03894 | |
| (603) 280-4500 | |
| Not Available |
| Full Name | Lakeside Smiles Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 76 N. Main St., Wolfeboro, New Hampshire |
| Authorized Official Name and Position | Andrew Hall (BUSINESS MANAGER) |
| Authorized Official Contact | 6032804500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Smiles Pediatric Dentistry, Pllc Po Box 1498 Alton NH 03809-1498 Ph: (603) 280-4500 | Lakeside Smiles Pediatric Dentistry, Pllc 76 N. Main St. Wolfeboro NH 03894 Ph: (603) 280-4500 |
| NPI Number | 1053013441 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053013441 | NPI | - | NPPES |
| 3138977 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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