Healthcare Provider Details

I. General information

NPI: 1205749827
Provider Name (Legal Business Name): JOSEPH OBRIEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 WASHINGTON ST
CLAREMONT NH
03743-5510
US

IV. Provider business mailing address

343 MOUNT SUPPORT RD UNIT 155
LEBANON NH
03766-2851
US

V. Phone/Fax

Practice location:
  • Phone: 781-733-0236
  • Fax:
Mailing address:
  • Phone: 781-733-0236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number05406
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: