Healthcare Provider Details

I. General information

NPI: 1447114632
Provider Name (Legal Business Name): CHRISTA KEDDIE RDH, CPHDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1056 RIVER RD
MANCHESTER NH
03104-1958
US

IV. Provider business mailing address

137 MCEVOY DR
AUBURN NH
03032-3930
US

V. Phone/Fax

Practice location:
  • Phone: 603-325-5471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number02861
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: