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MAIN STREET DENTAL
NPI 1497979918
Dentist - General Practice in Plymouth, NH

Active since April 13, 2007
107 MAIN STREET, PLYMOUTH, NH 03264(603) 536-4009(603) 536-1033 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Main Street Dental NPPES

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

MAIN STREET DENTAL (NPI 1497979918) is a healthcare organization registered as a general practice in Plymouth, New Hampshire and active in the NPI registry since April 2007. The organization lists Lori Edmonds, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1497979918
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL PROFESSIONALS OF NEW HAMPSHIRE, P.C.
Location Address107 MAIN STREETPlymouth, NH 03264
Mailing Address107 Main StreetPlymouth, NH 03264 · (603) 536-4009 · Fax (603) 536-1033
Phone(603) 536-4009
Fax(603) 536-1033
Organization SubpartYesParent: Lifetime Dental Professionals Of New Ham
Authorized OfficialLori EdmondsCredentialing Coordinator · (217) 540-8468
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 29, 2016
✔ NPI 1497979918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
107 MAIN STREET, Plymouth, NH 03264
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Other Names 1

Doing Business AsMain Street Dental

Other Identifiers 1

Medicaid30300441NH

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

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. RONALD STANKO DDS
Dentist (General Practice)
107 MAIN STREET
PLYMOUTH, NH 03264
Grafton County (603) 536-4009

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 Lifetime Dental Professionals Of New Hampshire, P.C.'s NPI number?

The NPI number for Lifetime Dental Professionals Of New Hampshire, P.C. is 1497979918. It was assigned to this organization in the NPPES registry on April 13, 2007. The provider is doing business as Main Street Dental.

Where is Lifetime Dental Professionals Of New Hampshire, P.C. located?

Lifetime Dental Professionals Of New Hampshire, P.C. is located at 107 Main Street, Plymouth, NH 03264. The listed phone number is (603) 536-4009.

What is Lifetime Dental Professionals Of New Hampshire, P.C.'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 Lifetime Dental Professionals Of New Hampshire, P.C. was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.