Provider Demographics
NPI:1508847120
Name:BADMAN, DENNIS S (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:S
Last Name:BADMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:SANBORNVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03872-4329
Mailing Address - Country:US
Mailing Address - Phone:603-871-8227
Mailing Address - Fax:603-871-8285
Practice Address - Street 1:131 MEADOW ST
Practice Address - Street 2:
Practice Address - City:SANBORNVILLE
Practice Address - State:NH
Practice Address - Zip Code:03872-4329
Practice Address - Country:US
Practice Address - Phone:603-871-8227
Practice Address - Fax:603-871-8285
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8928207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0109095YPNH01OtherANTHEM
133380OtherCIGNA
NH30007719Medicaid
133380OtherCIGNA
NH30007719Medicaid