Provider Demographics
NPI:1639341175
Name:NIESKENS & YOE DDS
Entity Type:Organization
Organization Name:NIESKENS & YOE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES NIESKENS & YOE DDS PA
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:YOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-924-3462
Mailing Address - Street 1:60 HANCOCK RD
Mailing Address - Street 2:ROUTE 202 NORTH
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458
Mailing Address - Country:US
Mailing Address - Phone:603-924-3350
Mailing Address - Fax:603-924-2199
Practice Address - Street 1:60 HANCOCK RD
Practice Address - Street 2:ROUTE 202 NORTH
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458
Practice Address - Country:US
Practice Address - Phone:603-924-3462
Practice Address - Fax:603-924-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1839122300000X
NH2212122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty