Healthcare Provider Details

I. General information

NPI: 1053518951
Provider Name (Legal Business Name): MICHAEL H CHOW,DDS,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 MAIN ST
NASHUA NH
03060-4601
US

IV. Provider business mailing address

305 MAIN ST
NASHUA NH
03060-4601
US

V. Phone/Fax

Practice location:
  • Phone: 603-881-8282
  • Fax:
Mailing address:
  • Phone: 603-881-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number1760
License Number StateNH

VIII. Authorized Official

Name: DR. MICHAEL H CHOW
Title or Position: PRESIDENT
Credential: DDS
Phone: 603-881-8282