Healthcare Provider Details

I. General information

NPI: 1053678789
Provider Name (Legal Business Name): SAVING PEOPLE'S SMILE DENTAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST SUITE 6
CONCORD NH
03301-2952
US

IV. Provider business mailing address

194 PLEASANT ST SUITE 6
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 603-219-0770
  • Fax: 603-219-0337
Mailing address:
  • Phone: 603-219-0770
  • Fax: 603-219-0337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EARLE WYATT SIMPSON JR.
Title or Position: DENTIST
Credential: D.M.D.
Phone: 603-219-0770