Provider Demographics
NPI:1609910553
Name:SEAN P. DROWER DMD PC
Entity Type:Organization
Organization Name:SEAN P. DROWER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:DROWER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-357-0230
Mailing Address - Street 1:650 COURT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-1759
Mailing Address - Country:US
Mailing Address - Phone:603-357-0230
Mailing Address - Fax:
Practice Address - Street 1:650 COURT ST STE 2
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1759
Practice Address - Country:US
Practice Address - Phone:603-357-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30313024Medicaid