Provider Demographics
NPI:1881981264
Name:MURGESH NADAR, SAMSON (DMD)
Entity type:Individual
Prefix:DR
First Name:SAMSON
Middle Name:
Last Name:MURGESH NADAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:SAMSON
Other - Middle Name:
Other - Last Name:NADAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:367 WASHINGTON ST
Mailing Address - Street 2:3 STONE DENTAL
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5540
Mailing Address - Country:US
Mailing Address - Phone:603-542-3225
Mailing Address - Fax:603-543-5400
Practice Address - Street 1:367 WASHINGTON ST
Practice Address - Street 2:3 STONE DENTAL
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5540
Practice Address - Country:US
Practice Address - Phone:603-542-3225
Practice Address - Fax:603-543-5400
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADL113001223S0112X
NH039021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice