Provider Demographics
NPI:1033467048
Name:KIRSCHNER, JOAN TERRY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:TERRY
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1232
Mailing Address - Country:US
Mailing Address - Phone:603-536-4301
Mailing Address - Fax:603-536-1984
Practice Address - Street 1:65 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1232
Practice Address - Country:US
Practice Address - Phone:603-536-4301
Practice Address - Fax:603-536-1984
Is Sole Proprietor?:No
Enumeration Date:2012-08-22
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0375961223G0001X
NH03952122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice