Provider Demographics
NPI:1417134362
Name:BERNARD W. ANG,DMD,PC
Entity Type:Organization
Organization Name:BERNARD W. ANG,DMD,PC
Other - Org Name:AMHERST VILLAGE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:ANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-673-5510
Mailing Address - Street 1:1 LIMBO LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1871
Mailing Address - Country:US
Mailing Address - Phone:603-673-5510
Mailing Address - Fax:
Practice Address - Street 1:1 LIMBO LN
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1871
Practice Address - Country:US
Practice Address - Phone:603-673-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223G0001X
NHNH3118261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty