NPI 1144780461 · live from the CMS NPI Registry
Saam Bozorg
Dentist, Orthodontics and Dentofacial Orthopedics in Manchester, NH. National Provider Identifier 1144780461, active.
NPI record
| NPI | 1144780461 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 801 Elm St, Manchester, NH 03101 |
| Practice phone | 603-556-4584 |
| Mailing address | 15 Ellery St Apt 6, Cambridge, MA 02138 |
| Enumerated | March 22, 2019 |
| Last updated | May 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | Dn1859364 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 04747 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.