Provider Demographics
NPI:1841369857
Name:ACHONG, ROGER ANTHONY (DMD)
Entity type:Individual
Prefix:DR
First Name:ROGER
Middle Name:ANTHONY
Last Name:ACHONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-224-3339
Mailing Address - Fax:603-224-3330
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:SUITE 1800
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-224-3339
Practice Address - Fax:603-224-3330
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH30051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry