Healthcare Provider Details

I. General information

NPI: 1992465207
Provider Name (Legal Business Name): JACQUELINE HAKER-BONCI DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 HAMPTON RD STE 1
EXETER NH
03833-4825
US

IV. Provider business mailing address

8 LINCOLN ST
EXETER NH
03833-3219
US

V. Phone/Fax

Practice location:
  • Phone: 603-988-0229
  • Fax:
Mailing address:
  • Phone: 781-367-3102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELINE HAKER-BONCI
Title or Position: OWNER
Credential:
Phone: 781-367-3102