Provider Demographics
NPI:1609934439
Name:GENERATIONS DENTAL CARE, P.A.
Entity Type:Organization
Organization Name:GENERATIONS DENTAL CARE, P.A.
Other - Org Name:ALBERT R BINDER DMD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-225-6331
Mailing Address - Street 1:9 TRIANGLE PARK DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301
Mailing Address - Country:US
Mailing Address - Phone:603-225-6331
Mailing Address - Fax:603-225-3712
Practice Address - Street 1:9 TRIANGLE PARK DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-225-6331
Practice Address - Fax:603-225-3712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30312631Medicaid