Provider Demographics
NPI:1437228863
Name:CHARLES E. ALBEE, DMD, PA SUNCOOK FAMILY DENTISTRY
Entity Type:Organization
Organization Name:CHARLES E. ALBEE, DMD, PA SUNCOOK FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-485-9721
Mailing Address - Street 1:119 PEMBROKE ST
Mailing Address - Street 2:
Mailing Address - City:SUNCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03275
Mailing Address - Country:US
Mailing Address - Phone:603-485-9721
Mailing Address - Fax:603-485-1151
Practice Address - Street 1:119 PEMBROKE ST
Practice Address - Street 2:
Practice Address - City:SUNCOOK
Practice Address - State:NH
Practice Address - Zip Code:03275
Practice Address - Country:US
Practice Address - Phone:603-485-9721
Practice Address - Fax:603-485-1151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH15371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty