MEDICARE: DR. JENNIFER LYNN TOY 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	122300000X	Dentist	DN1856130	MA
2	122300000X	Dentist	04222	NH

General Provider Information

NPI Number	:	1679823165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LYNN TOY DMD

Provider Business Mailing Address
First Line	:	27 VILLAGE ST
Second Line	:
City	:	PENACOOK
State	:	NH
Zip	:	03303-1948
Country	:	US
Telephone Number	:	603-753-6687
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 VILLAGE ST
Second Line	:
City	:	PENACOOK
State	:	NH
Zip	:	03303-1948
Country	:	US
Telephone Number	:	603-753-6687
Fax Number	:

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

Provider Enumeration Date	:	09/12/2012
Last Update Date	:	04/28/2016

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