Provider Demographics
NPI:1447519103
Name:DENTAL HEALTH SOLUTIONS OF NASHUA
Entity type:Organization
Organization Name:DENTAL HEALTH SOLUTIONS OF NASHUA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKHTAR
Authorized Official - Middle Name:G
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-667-8292
Mailing Address - Street 1:0 PROFILE CIR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1716
Mailing Address - Country:US
Mailing Address - Phone:603-880-5151
Mailing Address - Fax:603-880-5186
Practice Address - Street 1:ZERO PROFILE CIRCLE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-880-5151
Practice Address - Fax:603-880-5186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03889122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty