NPI 1164046645 · live from the CMS NPI Registry
Manchester Dentistry And Braces INC
Dentist, General Practice in Manchester, NH. National Provider Identifier 1164046645, active.
NPI record
| NPI | 1164046645 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 460 Elm St, Manchester, NH 03101 |
| Practice phone | 603-760-6000 |
| Mailing address | 5 Mount Royal Ave Ste 300, Marlborough, MA 01752 |
| Enumerated | June 1, 2020 |
| Last updated | March 10, 2026 |
| Authorized official | Todd Pachello, Chief Revenue Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.