Coos County Family Health Services

NPI #1003019837 in Berlin, New Hampshire

Provider Information

NPI Number: 1003019837
Entity Type: Organization
Organization Name: Coos County Family Health Services
Subpart: Yes (part of a larger organization)
Parent Organization: COOS COUNTY FAMILY HEALTH SERVICES
Primary Specialty: Dentist
Enumeration Date: Jun 8, 2007
Last Updated: Nov 17, 2016

Practice Location

Address: 73 MAIN STREET
City: Berlin
State: New Hampshire
ZIP Code: 03570
Phone: (603) 752-2424

Authorized Official

Name: KENNETH GORDON
Title: CEO
Phone: (603) 752-3669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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