| Ronald C Brenner | |
|
52 High St New Boston NH 03070-4027 | |
| (603) 487-2106 | |
| (603) 487-2337 |
| Full Name | Ronald C Brenner |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 52 High St, New Boston, New Hampshire |
| Authorized Official Name and Position | Ronald C Brenner (OWNER) |
| Authorized Official Contact | 6034872106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald C Brenner 52 High St New Boston NH 03070-4027 Ph: (603) 487-2106 | Ronald C Brenner 52 High St New Boston NH 03070-4027 Ph: (603) 487-2106 |
| NPI Number | 1417096140 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417096140 | NPI | - | NPPES |
| 30313625 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1690 (New Hampshire) | Secondary |
| 1223G0001X | Dentist - General Practice | 3424 (New Hampshire) | Primary |