Provider Demographics
NPI:1982652491
Name:ENGLANDER, LUIS S (DMD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:S
Last Name:ENGLANDER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6709
Mailing Address - Country:US
Mailing Address - Phone:603-624-3900
Mailing Address - Fax:603-624-0030
Practice Address - Street 1:72 S RIVER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6709
Practice Address - Country:US
Practice Address - Phone:603-624-3900
Practice Address - Fax:603-624-0030
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist