Healthcare Provider Details
I. General information
NPI: 1225993421
Provider Name (Legal Business Name): PINKERTON DENTAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24 PINKERTON ST
DERRY NH
03038-1504
US
IV. Provider business mailing address
24 PINKERTON ST
DERRY NH
03038-1504
US
V. Phone/Fax
- Phone: 603-434-0040
- Fax:
- Phone: 603-434-0040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIKOLIN
ROPI
Title or Position: OWNER
Credential: DMD
Phone: 443-515-9534