NPI 1306901897 · live from the CMS NPI Registry
Philip Mansour, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Goffstown, NH. National Provider Identifier 1306901897, active.
NPI record
| NPI | 1306901897 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 89 South Main Street, Goffstown, NH 03045 |
| Practice phone | 603-497-4605 |
| Mailing address | 89 South Main St, Goffstown, NH 03045 |
| Enumerated | December 26, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2436 (NH) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 17193 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.