Healthcare Provider Details

I. General information

NPI: 1083151906
Provider Name (Legal Business Name): MARGARITE JOYCE R.D.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 01/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COUNTRY CLUB RD BUILDING 4
GILFORD NH
03249-6972
US

IV. Provider business mailing address

252 WHITE OAKS RD
LACONIA NH
03246-1935
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-8250
  • Fax:
Mailing address:
  • Phone: 603-520-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number01075
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: