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HANOVER ROAD DENTAL HEALTH, PA
NPI 1164596227
Dentist - General Practice in Lebanon, NH

Active since November 20, 2006
367 ROUTE 120 BLDG. D, LEBANON, NH 03766(603) 643-4362(603) 643-4340 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanover Road Dental Health, Pa NPPES

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

HANOVER ROAD DENTAL HEALTH, PA (NPI 1164596227), doing business as Kenneth W. Olsen, D.m.d., P.a., is a healthcare organization registered as a general practice in Lebanon, New Hampshire and active in the NPI registry since November 2006. The organization lists Terry Bradigan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164596227
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHANOVER ROAD DENTAL HEALTH, PA
Location Address367 ROUTE 120 BLDG. DLebanon, NH 03766
Mailing Address367 Route 120 Bldg. DLebanon, NH 03766 · (603) 643-4362 · Fax (603) 643-4340
Phone(603) 643-4362
Fax(603) 643-4340
Organization SubpartNo
Authorized OfficialTerry BradiganOwner · (603) 643-4362
Enumeration DateNovember 20, 2006
Last NPPES UpdateJune 2, 2015
✔ NPI 1164596227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NH · 2601
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
367 ROUTE 120 BLDG. D, Lebanon, NH 03766
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Other Names 1

Former Legal Business NameKenneth W. Olsen, D.m.d., P.a.

Other Identifiers 2

Medicaid3071380NH
Medicaid30314128NH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Hanover Road Dental Health, PA's NPI number?

The NPI number for Hanover Road Dental Health, PA is 1164596227. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider was formerly known as Kenneth W. Olsen, D.M.D., P.A..

Where is Hanover Road Dental Health, PA located?

Hanover Road Dental Health, PA is located at 367 Route 120 Bldg. D, Lebanon, NH 03766. The listed phone number is (603) 643-4362.

What is Hanover Road Dental Health, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hanover Road Dental Health, PA was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.