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BACKBAY DENTAL, LLC
NPI 1164039277
Clinic/Center - Dental in Wolfeboro, NH

Active since September 23, 2020
51 MILL ST, WOLFEBORO, NH 03894(603) 569-1554 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Backbay Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACKBAY DENTAL, LLC (NPI 1164039277), doing business as Back Bay Dental, is a healthcare organization registered as a dental in Wolfeboro, New Hampshire and active in the NPI registry since September 2020. The organization lists Nicholas Thomas Ciancarelli, Manager, as its authorized official.

NPPES Registry Identity

NPI1164039277
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBACKBAY DENTAL, LLC
Location Address51 MILL STWolfeboro, NH 03894-4361
Mailing Address51 Mill StWolfeboro, NH 03894-4361 · (603) 569-1554
Phone(603) 569-1554
Organization SubpartNo
Authorized OfficialNicholas Thomas CiancarelliManager · (603) 569-1554
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1164039277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
51 MILL ST, Wolfeboro, NH 03894
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Other Names 1

Doing Business AsBack Bay Dental

Other Identifiers 1

Medicaid1134345945MA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BENJAMIN THEODORE SELLE DMD
Dentist (General Practice)
51 MILL ST, #2 BAYSIDE VILLAGE
WOLFEBORO, NH 03894
Carroll County (603) 569-1554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Backbay Dental, LLC's NPI number?

The NPI number for Backbay Dental, LLC is 1164039277. It was assigned to this organization in the NPPES registry on September 23, 2020. The provider is doing business as Back Bay Dental.

Where is Backbay Dental, LLC located?

Backbay Dental, LLC is located at 51 Mill St, Wolfeboro, NH 03894. The listed phone number is (603) 569-1554.

What is Backbay Dental, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Backbay Dental, LLC was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.