Healthcare Provider Details

I. General information

NPI: 1780249680
Provider Name (Legal Business Name): BARBARA STOWERS RDH, MSDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 COLLEGE DR
CONCORD NH
03301-7425
US

IV. Provider business mailing address

31 COLLEGE DR
CONCORD NH
03301-7425
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-6484
  • Fax:
Mailing address:
  • Phone: 603-271-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number02936
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: