ANGELA J SANTAVICCA DDS PLLC
NPI 1639385289
Dentist - General Practice in Lebanon, NH

Active since May 14, 2007
367 STATE ROUTE 120, UNIT C, LEBANON, NH 03766(603) 643-4142(603) 643-1740 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela J Santavicca Dds Pllc NPPES

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

ANGELA J SANTAVICCA DDS PLLC (NPI 1639385289) is a healthcare organization registered as a general practice in Lebanon, New Hampshire and active in the NPI registry since May 2007. The organization lists Jodi L Bergeron, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1639385289
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameANGELA J SANTAVICCA DDS PLLC
Location Address367 STATE ROUTE 120, UNIT CLebanon, NH 03766-1430
Mailing Address367 State Route 120, Unit CLebanon, NH 03766-1430 · (603) 643-4142 · Fax (603) 643-1740
Fax(603) 643-1740
Organization SubpartNo
Authorized OfficialJodi L BergeronPractice Manager · (603) 643-4142
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1639385289 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 · 2648
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 STATE ROUTE 120, Lebanon, NH 03766

Other Identifiers 1

Medicaid30310640NH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
367 STATE ROUTE 120, UNIT E3
LEBANON, NH 03766
Psychologist
367 STATE ROUTE 120, SUITE B8
LEBANON, NH 03766
Psychologist (Clinical)
367 STATE ROUTE 120, SUITE B-8
LEBANON, NH 03766
Clinic/Center (Dental)
367 STATE ROUTE 120, UNIT B-3
LEBANON, NH 03766
Dentist (General Practice)
367 STATE ROUTE 120, UNIT C
LEBANON, NH 03766
Dentist (General Practice)
367 STATE ROUTE 120, BLDG D
LEBANON, NH 03766
Social Worker (Clinical)
367 STATE ROUTE 120, SUITE B1
LEBANON, NH 03766
Dietitian, Registered
367 STATE ROUTE 120, SUITE B-8
LEBANON, NH 03766

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 Angela J Santavicca Dds PLLC's NPI number?

The NPI number for Angela J Santavicca Dds PLLC is 1639385289. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Angela J Santavicca Dds PLLC located?

Angela J Santavicca Dds PLLC is located at 367 State Route 120 Unit C, Lebanon, NH 03766. The listed phone number is (603) 643-4142.

What is Angela J Santavicca Dds PLLC'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 Angela J Santavicca Dds PLLC was last updated on August 22, 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.