Healthcare Provider Details

I. General information

NPI: 1245271170
Provider Name (Legal Business Name): BERNARD W ANG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LIMBO LN
AMHERST NH
03031-1871
US

IV. Provider business mailing address

1 LIMBO LN
AMHERST NH
03031-1871
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-5510
  • Fax:
Mailing address:
  • Phone: 603-673-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number3118
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: