Provider Demographics
NPI:1831130665
Name:PLYMOUTH GENERAL DENTISTRY, PLLC
Entity Type:Organization
Organization Name:PLYMOUTH GENERAL DENTISTRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. PATRICIA MCCALL, D.D.S.
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-536-4301
Mailing Address - Street 1:65 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-1232
Mailing Address - Country:US
Mailing Address - Phone:603-536-4301
Mailing Address - Fax:603-536-1984
Practice Address - Street 1:65 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1232
Practice Address - Country:US
Practice Address - Phone:603-536-4301
Practice Address - Fax:603-536-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty