Provider Demographics
NPI:1285639450
Name:COLLINS DENTISTRY FOR CHILDREN, PLLC
Entity Type:Organization
Organization Name:COLLINS DENTISTRY FOR CHILDREN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NILFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENCARNACION COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-635-1166
Mailing Address - Street 1:104 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4111
Mailing Address - Country:US
Mailing Address - Phone:603-880-6285
Mailing Address - Fax:
Practice Address - Street 1:100 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-3405
Practice Address - Country:US
Practice Address - Phone:603-635-1166
Practice Address - Fax:603-635-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32141223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty