NPI 1063860849 · live from the CMS NPI Registry
Derry Braces PC
Dentist, Orthodontics and Dentofacial Orthopedics in Derry, NH. National Provider Identifier 1063860849, active.
NPI record
| NPI | 1063860849 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8 Crystal Ave, Derry, NH 03038 |
| Practice phone | 603-434-6433 |
| Mailing address | 87 Elm St, Third Floor, Hopkinton, MA 01748 |
| Enumerated | June 2, 2016 |
| Last updated | March 13, 2023 |
| Authorized official | Houssam Alkhoury, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 03377 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.