Provider Demographics
NPI:1912184961
Name:RICHARD D. GROVES, DDS, PLLC
Entity Type:Organization
Organization Name:RICHARD D. GROVES, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-673-4102
Mailing Address - Street 1:1 OVERLOOK DR
Mailing Address - Street 2:SUITE A3
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 A3
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1853122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty