Healthcare Provider Details

I. General information

NPI: 1396445607
Provider Name (Legal Business Name): BRIGETTE ELIZABETH RANKIN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 COTTON RD
DEERFIELD NH
03037-1604
US

IV. Provider business mailing address

44 WARD ST APT 3
SOUTH BOSTON MA
02127-3563
US

V. Phone/Fax

Practice location:
  • Phone: 603-463-7240
  • Fax: 603-476-3474
Mailing address:
  • Phone: 603-991-6547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number05364
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN100426
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN5368
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: