NPI 1831045822 · live from the CMS NPI Registry
Dental Specialties
Dentist, Orthodontics and Dentofacial Orthopedics in Manchester, NH. National Provider Identifier 1831045822, active.
NPI record
| NPI | 1831045822 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4 Vinton St, Manchester, NH 03103 |
| Practice phone | 603-810-0515 |
| Mailing address | 5 Mount Royal Ave Ste 300, Marlborough, MA 01752 |
| Enumerated | March 10, 2026 |
| Last updated | March 10, 2026 |
| Authorized official | Alexa Stapin, Hr Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.