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NPI Code Detail

MEDICARE: ANTHONY J LADDS DDS PLLC

MEDICARE: ANTHONY J LADDS DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry3068NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205180759
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY J LADDS DDS PLLC
Provider Business Mailing Address
First Line : 5 CHENELL DR
Second Line :
City : CONCORD
State : NH
Zip : 03301-8503
Country : US
Telephone Number : 603-224-4200
Fax Number :
Provider Business Practice Location Address
First Line : 5 CHENELL DR
Second Line :
City : CONCORD
State : NH
Zip : 03301-8503
Country : US
Telephone Number : 603-224-4200
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : ANTHONY LADDS
Credential :
Telephone Number : 603-224-4200
Provider Enumeration Date : 11/06/2012
Last Update Date : 11/06/2012

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Directions to “ANTHONY J LADDS DDS PLLC ” Practice Location

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