GRANITE STATE ORAL SURGERY PLLC
NPI 1801097654
Dentist - Oral and Maxillofacial Surgery in Londonderry, NH

Active since May 30, 2007
80 NASHUA RD, BUILDING C, LONDONDERRY, NH 03053(603) 432-3308(603) 425-6165 Get Directions Write a Review

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

About Granite State Oral Surgery Pllc NPPES

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

GRANITE STATE ORAL SURGERY PLLC (NPI 1801097654) is a healthcare organization registered as an oral and maxillofacial surgery in Londonderry, New Hampshire and active in the NPI registry since May 2007. The organization lists Salman Ayub Malik, Owner, as its authorized official.

NPPES Registry Identity

NPI1801097654
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGRANITE STATE ORAL SURGERY PLLC
Location Address80 NASHUA RD, BUILDING CLondonderry, NH 03053-3426
Mailing Address80 Nashua Rd, Building CLondonderry, NH 03053-3426 · (603) 432-3308 · Fax (603) 425-6165
Fax(603) 425-6165
Organization SubpartNo
Authorized OfficialSalman Ayub MalikOwner · (603) 432-3308
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1801097654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NH · 3025
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
80 NASHUA RD, Londonderry, NH 03053

Other Identifiers 3

Medicaid30312701NH
Other0206381Y0NH01NH · Anthem Id
Other1417977737NH · Type 1 Npi

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 16

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

Counselor (Mental Health)
80 NASHUA RD, SUITE B2
LONDONDERRY, NH 03053
Speech-Language Pathologist
80 NASHUA RD
LONDONDERRY, NH 03053
Marriage & Family Therapist
80 NASHUA RD, SUITE B-2
LONDONDERRY, NH 03053
Speech-Language Pathologist
80 NASHUA RD, BLDG B, UNIT 4
LONDONDERRY, NH 03053
Community/Behavioral Health
80 NASHUA RD, SUITE B2
LONDONDERRY, NH 03053
Counselor (Mental Health)
80 NASHUA RD, SUITE B2
LONDONDERRY, NH 03053
Clinic/Center (Mental Health (Including Community Mental Health Center))
80 NASHUA RD, BUILDING C, LOWER LEVEL
LONDONDERRY, NH 03053
Dentist (Oral and Maxillofacial Surgery)
80 NASHUA RD, BUILDING C
LONDONDERRY, NH 03053

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 Granite State Oral Surgery PLLC's NPI number?

The NPI number for Granite State Oral Surgery PLLC is 1801097654. It was assigned to this organization in the NPPES registry on May 30, 2007.

Where is Granite State Oral Surgery PLLC located?

Granite State Oral Surgery PLLC is located at 80 Nashua Rd Building C, Londonderry, NH 03053. The listed phone number is (603) 432-3308.

What is Granite State Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Granite State Oral Surgery 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.