Provider Demographics
NPI:1679698369
Name:DR. THOMAS G. SCHELL, D.M.D., PLLC
Entity Type:Organization
Organization Name:DR. THOMAS G. SCHELL, D.M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-448-3800
Mailing Address - Street 1:31 OLD ETNA RD
Mailing Address - Street 2:STE N1
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1933
Mailing Address - Country:US
Mailing Address - Phone:603-448-3800
Mailing Address - Fax:603-448-0553
Practice Address - Street 1:31 OLD ETNA RD STE N1
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1933
Practice Address - Country:US
Practice Address - Phone:603-448-3800
Practice Address - Fax:603-448-0553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH24951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30313858Medicaid
NH30004439Medicaid