MEDICARE: BERNARD W. ANG,DMD,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	NH3118	NH
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1417134362
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERNARD W. ANG,DMD,PC

Provider Business Mailing Address
First Line	:	1 LIMBO LN
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-1871
Country	:	US
Telephone Number	:	603-673-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LIMBO LN
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-1871
Country	:	US
Telephone Number	:	603-673-5510
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BERNARD W ANG
Credential	:	DMD
Telephone Number	:	603-673-5510

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	03/29/2023

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