Healthcare Provider Details

I. General information

NPI: 1447212105
Provider Name (Legal Business Name): ROBERT FERNAND PINARD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 04/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 RAYMOND ROAD
CANDIA NH
03034-0277
US

IV. Provider business mailing address

PO BOX 277
CANDIA NH
03034-0277
US

V. Phone/Fax

Practice location:
  • Phone: 603-483-2176
  • Fax: 603-483-2296
Mailing address:
  • Phone: 603-483-2176
  • Fax: 603-483-2296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1807
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: