Provider Demographics
NPI:1104848605
Name:DOVER DENTAL ASSOCIATES, LLP
Entity Type:Organization
Organization Name:DOVER DENTAL ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BALZANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-743-3500
Mailing Address - Street 1:2 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2516
Mailing Address - Country:US
Mailing Address - Phone:603-743-3500
Mailing Address - Fax:
Practice Address - Street 1:2 RIDGE ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2516
Practice Address - Country:US
Practice Address - Phone:603-743-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty