Provider Demographics
NPI:1720237829
Name:ACCESS DENTAL
Entity Type:Organization
Organization Name:ACCESS DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:COLPITTS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-286-8482
Mailing Address - Street 1:378 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03235-7100
Mailing Address - Country:US
Mailing Address - Phone:603-934-4014
Mailing Address - Fax:
Practice Address - Street 1:378 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NH
Practice Address - Zip Code:03235-7100
Practice Address - Country:US
Practice Address - Phone:603-934-4014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2196122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003033Medicaid