Provider Demographics
NPI:1154460731
Name:ANNE BARCLAY-FILLER,DMD,P.C.
Entity Type:Organization
Organization Name:ANNE BARCLAY-FILLER,DMD,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:BARCLAY
Authorized Official - Last Name:FILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-898-2072
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:31 LOWELL ROAD
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-0547
Mailing Address - Country:US
Mailing Address - Phone:603-898-2072
Mailing Address - Fax:603-893-6455
Practice Address - Street 1:31 LOWELL RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1811
Practice Address - Country:US
Practice Address - Phone:603-898-2072
Practice Address - Fax:603-893-6455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH20351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAZ81744OtherBLUE CROSS