| Pittsfield Family Dental Center Llc | |
| 
					50 Manchester St Pittsfield NH 03263-3401  | |
| (603) 435-8030 | |
| (603) 435-8107 | 
| Full Name | Pittsfield Family Dental Center Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 50 Manchester St, Pittsfield, New Hampshire | 
| Authorized Official Name and Position | Fredrick M Vega (MANAGING MEMBER) | 
| Authorized Official Contact | 6034358030 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pittsfield Family Dental Center Llc 50 Manchester St Pittsfield NH 03263-3401 Ph: (603) 435-8030  | Pittsfield Family Dental Center Llc 50 Manchester St Pittsfield NH 03263-3401 Ph: (603) 435-8030  | 
| NPI Number | 1700153947 | 
|---|---|
| Provider Enumeration Date | 11/16/2011 | 
| Last Update Date | 11/16/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700153947 | NPI | - | NPPES | 
| 30007856 | Medicaid | NH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1857 (New Hampshire) | Primary | 
Deborah K Varney,dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Manchester St, Pittsfield, NH 03263 Phone: 603-435-8030 Fax: 603-435-8107  |