Healthcare Provider Details

I. General information

NPI: 1881034262
Provider Name (Legal Business Name): CHRISTY LOTTINGER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2013
Last Update Date: 06/28/2024
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST STE 13
CONCORD NH
03301-2952
US

IV. Provider business mailing address

194 PLEASANT ST STE 13
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 602-253-4828
  • Fax:
Mailing address:
  • Phone: 602-253-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number11847
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number04851
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: