Provider Demographics
NPI:1497380323
Name:MCQUARRIE, ALLAN JOHN III (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:JOHN
Last Name:MCQUARRIE
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 LAKE SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1975
Mailing Address - Country:US
Mailing Address - Phone:603-401-6429
Mailing Address - Fax:
Practice Address - Street 1:505 W HOLLIS ST STE 202
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1387
Practice Address - Country:US
Practice Address - Phone:603-882-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9951122300000X
CA107122122300000X
NH04814122300000X
390200000X
MA18597041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty