NPI 1720154412 · live from the CMS NPI Registry
Lynnette Ann Nyberg, dmd
Dentist, Orthodontics and Dentofacial Orthopedics in Manchester, NH. National Provider Identifier 1720154412, active.
NPI record
| NPI | 1720154412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1100 Bicentennial Dr, Manchester, NH 03104 |
| Practice phone | 603-622-7500 |
| Enumerated | November 27, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2530 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.