Healthcare Provider Details

I. General information

NPI: 1609934439
Provider Name (Legal Business Name): GENERATIONS DENTAL CARE, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 TRIANGLE PARK DRIVE SUITE 3
CONCORD NH
03301
US

IV. Provider business mailing address

9 TRIANGLE PARK DRIVE SUITE 3
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-6331
  • Fax: 603-225-3712
Mailing address:
  • Phone: 603-225-6331
  • Fax: 603-225-3712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER T. BINDER
Title or Position: DOCTOR/OWNER
Credential: DMD
Phone: 603-225-6331