Provider Demographics
NPI:1598776684
Name:MILL PLAZA DENTAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:MILL PLAZA DENTAL ASSOCIATES PLLC
Other - Org Name:CENTER FOR CONTEMPORARY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:ASHVIN
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-524-3444
Mailing Address - Street 1:14 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220
Mailing Address - Country:US
Mailing Address - Phone:603-524-3444
Mailing Address - Fax:603-528-3453
Practice Address - Street 1:14 BISHOP RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NH
Practice Address - Zip Code:03220
Practice Address - Country:US
Practice Address - Phone:603-524-3444
Practice Address - Fax:603-528-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3033122300000X
NH3032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty