Provider Demographics
NPI:1053678789
Name:SAVING PEOPLE'S SMILE DENTAL CENTER
Entity Type:Organization
Organization Name:SAVING PEOPLE'S SMILE DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:EARLE
Authorized Official - Middle Name:WYATT
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-219-0770
Mailing Address - Street 1:194 PLEASANT ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2952
Mailing Address - Country:US
Mailing Address - Phone:603-219-0770
Mailing Address - Fax:603-219-0337
Practice Address - Street 1:194 PLEASANT ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2952
Practice Address - Country:US
Practice Address - Phone:603-219-0770
Practice Address - Fax:603-219-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental