MEDICARE: NHOMS, PLLC

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	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1427813245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NHOMS, PLLC

Provider Business Mailing Address
First Line	:	33 TRAFALGAR SQ STE 201
Second Line	:
City	:	NASHUA
State	:	NH
Zip	:	03063-4901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 TURNPIKE ST STE 41A
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5935
Country	:	US
Telephone Number	:	978-226-7122
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	JO A GOY
Credential	:
Telephone Number	:	603-595-8889

Provider Enumeration Date	:	02/20/2024
Last Update Date	:	02/20/2024

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