Provider Demographics
NPI:1932324688
Name:JENNIFER A CHARLAND DMD PLLC
Entity Type:Organization
Organization Name:JENNIFER A CHARLAND DMD PLLC
Other - Org Name:SIGNATURE SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CHARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-899-2422
Mailing Address - Street 1:31 SINJA DRIVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461
Mailing Address - Country:US
Mailing Address - Phone:603-899-2422
Mailing Address - Fax:603-899-2424
Practice Address - Street 1:31 SONJA DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461
Practice Address - Country:US
Practice Address - Phone:603-899-2422
Practice Address - Fax:603-899-2424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH32121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty