MEDICARE: BERNARD W ANG DMD

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	3118	NH

General Provider Information

NPI Number	:	1245271170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD W ANG DMD

Provider Business Mailing Address
First Line	:	1 LIMBO LN
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-1871
Country	:	US
Telephone Number	:	603-673-5510
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 LIMBO LN
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-1871
Country	:	US
Telephone Number	:	603-673-5510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	06/04/2026

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