NPI 1043774573 · live from the CMS NPI Registry
Simply Pediatrics And Orthodontics Of Pelham PLLC
Dentist, Pediatric Dentistry in Pelham, NH. National Provider Identifier 1043774573, active.
NPI record
| NPI | 1043774573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 100 Bridge St, Pelham, NH 03076 |
| Practice phone | 508-589-8270 |
| Mailing address | 87 Elm St Ste 302, Hopkinton, MA 01748 |
| Enumerated | January 29, 2019 |
| Last updated | March 13, 2023 |
| Authorized official | Houssam Alkhoury, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.