Provider Demographics
NPI:1437292554
Name:NH ENDODONTICS PLLC
Entity Type:Organization
Organization Name:NH ENDODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOLL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-224-5553
Mailing Address - Street 1:6 LOUDON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5321
Mailing Address - Country:US
Mailing Address - Phone:603-224-5553
Mailing Address - Fax:603-224-6890
Practice Address - Street 1:6 LOUDON RD STE 6
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5321
Practice Address - Country:US
Practice Address - Phone:603-224-5553
Practice Address - Fax:603-224-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH26671223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1184776601OtherENDODONTIST
NH1497807911OtherENDODONTIST
NH1154473767OtherENDODONTIST