Provider Demographics
NPI:1689621831
Name:GROVES, RICHARD DONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DONALD
Last Name:GROVES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OVERLOOK DR
Mailing Address - Street 2:SUITE A 3
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2800
Mailing Address - Country:US
Mailing Address - Phone:603-673-4102
Mailing Address - Fax:
Practice Address - Street 1:1 OVERLOOK DR
Practice Address - Street 2:SUITE A 3
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2800
Practice Address - Country:US
Practice Address - Phone:603-673-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1853122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist