Healthcare Provider Details
I. General information
NPI: 1184196396
Provider Name (Legal Business Name): HOOKSETT DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2018
Last Update Date: 12/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 MADISON AVE
HOOKSETT NH
03106-1944
US
IV. Provider business mailing address
2 MADISON AVE
HOOKSETT NH
03106-1944
US
V. Phone/Fax
- Phone: 603-668-5333
- Fax: 603-624-4030
- Phone: 603-668-5333
- Fax: 603-624-4030
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: DR.
MARGARET
SPARGIMINO
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 603-668-5333