Provider Demographics
NPI:1265657357
Name:LISA B. SCHULMAN, D.D.S.
Entity Type:Organization
Organization Name:LISA B. SCHULMAN, D.D.S.
Other - Org Name:SEACOAST DREAM DENTISTRY P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-436-2951
Mailing Address - Street 1:200 GRIFFIN RD.
Mailing Address - Street 2:SUITE 9
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7145
Mailing Address - Country:US
Mailing Address - Phone:603-436-2951
Mailing Address - Fax:603-433-9550
Practice Address - Street 1:200 GRIFFIN RD
Practice Address - Street 2:SUITE 9
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7145
Practice Address - Country:US
Practice Address - Phone:603-436-2951
Practice Address - Fax:603-433-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26381223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty