Healthcare Provider Details

I. General information

NPI: 1386760114
Provider Name (Legal Business Name): JOHN H CAHILL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2837 LAFAYETTE RD
PORTSMOUTH NH
03801-5648
US

IV. Provider business mailing address

2837 LAFAYETTE RD
PORTSMOUTH NH
03801-5648
US

V. Phone/Fax

Practice location:
  • Phone: 603-436-6997
  • Fax: 603-436-6964
Mailing address:
  • Phone: 603-436-6997
  • Fax: 603-436-6964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2462
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: