Healthcare Provider Details

I. General information

NPI: 1457566283
Provider Name (Legal Business Name): PATRICK M REDMOND DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 WAKEFIELD ST
ROCHESTER NH
03867-1303
US

IV. Provider business mailing address

121 WAKEFIELD ST
ROCHESTER NH
03867-1303
US

V. Phone/Fax

Practice location:
  • Phone: 603-332-7050
  • Fax:
Mailing address:
  • Phone: 603-332-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number1310
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number1310
License Number StateNH

VIII. Authorized Official

Name: DR. PATRICK MICHAEL REDMOND
Title or Position: PRESIDENT
Credential: DMD
Phone: 603-332-7050