Provider Demographics
NPI:1801029277
Name:SEACOAST ORTHODONTICS
Entity type:Organization
Organization Name:SEACOAST ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-964-2220
Mailing Address - Street 1:45 LAFAYETTE RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:NORTH HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03862-2451
Mailing Address - Country:US
Mailing Address - Phone:603-964-2220
Mailing Address - Fax:603-964-2244
Practice Address - Street 1:45 LAFAYETTE RD
Practice Address - Street 2:SUITE 14
Practice Address - City:NORTH HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03862-2451
Practice Address - Country:US
Practice Address - Phone:603-964-2220
Practice Address - Fax:603-964-2244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03640261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental