Provider Demographics
NPI:1568621514
Name:RYE DENTAL, PLLC
Entity Type:Organization
Organization Name:RYE DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:ADA
Authorized Official - Last Name:ADAMAITIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-964-5060
Mailing Address - Street 1:475 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2459
Mailing Address - Country:US
Mailing Address - Phone:603-964-5060
Mailing Address - Fax:603-964-6460
Practice Address - Street 1:475 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2459
Practice Address - Country:US
Practice Address - Phone:603-964-5060
Practice Address - Fax:603-964-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty