Provider Demographics
NPI:1760581839
Name:DESMARAIS & VERMETTE
Entity Type:Organization
Organization Name:DESMARAIS & VERMETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:VERMETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-224-9119
Mailing Address - Street 1:2 WALL ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3740
Mailing Address - Country:US
Mailing Address - Phone:603-224-9119
Mailing Address - Fax:603-223-9678
Practice Address - Street 1:2 WALL ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3740
Practice Address - Country:US
Practice Address - Phone:603-224-9119
Practice Address - Fax:603-223-9678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty