Healthcare Provider Details

I. General information

NPI: 1760581839
Provider Name (Legal Business Name): DESMARAIS & VERMETTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WALL ST
CONCORD NH
03301-3740
US

IV. Provider business mailing address

2 WALL ST
CONCORD NH
03301-3740
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-9119
  • Fax: 603-223-9678
Mailing address:
  • Phone: 603-224-9119
  • Fax: 603-223-9678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number StateNH

VIII. Authorized Official

Name: DR. MICHAEL E. VERMETTE
Title or Position: OWNER
Credential:
Phone: 603-224-9119