Provider Demographics
NPI:1851512180
Name:DONALD J. NEELY, DMD, MS, PC
Entity Type:Organization
Organization Name:DONALD J. NEELY, DMD, MS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEELY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-643-1200
Mailing Address - Street 1:7 ALLEN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2065
Mailing Address - Country:US
Mailing Address - Phone:603-643-1200
Mailing Address - Fax:603-643-9269
Practice Address - Street 1:7 ALLEN ST
Practice Address - Street 2:SUITE 300
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2065
Practice Address - Country:US
Practice Address - Phone:603-643-1200
Practice Address - Fax:603-643-9269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty