Healthcare Provider Details

I. General information

NPI: 1255263406
Provider Name (Legal Business Name): FINNEGAN ULLA COLE REIDA DA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

538 ALSTEAD CENTER RD
ALSTEAD NH
03602-3539
US

IV. Provider business mailing address

538 ALSTEAD CENTER RD
ALSTEAD NH
03602-3539
US

V. Phone/Fax

Practice location:
  • Phone: 603-933-2800
  • Fax: 603-933-2800
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number014.0135062
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: