Dr. Jay Allan Nesvold
Dental Public Health Dentist - General Practice
278 Lafayette Road Bldg E
Portsmouth
, New Hampshire 03801-5455
Dr. Jay Allan Nesvold
Dental Public Health Dentist - General Practice
278 Lafayette Road Bldg E
Portsmouth
, New Hampshire 03801-5455
(603) 430-9009
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Jay Allan Nesvold
- 278 Lafayette Road Bldg E
- Portsmouth, NH
- Zip : 03801-5455
- Phone : (603) 430-9009
Second Address
- Dr. Jay Allan Nesvold
- 278 Lafayette Road Bldg E
- Portsmouth, NH
- Zip : 03801-5455
- Phone : (603) 430-9009
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Is Dr. Jay Allan Nesvold a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 21460 | MA |
| N | 1223G0001X | General Practice | 21460 | MA |
| N | 213EG0000X | General Practice | 21460 | MA |
| N | 1223G0001X | General Practice | 3293 | NH |
| N | 213EG0000X | General Practice | 3293 | NH |
| N | 1223G0001X | General Practice | D11553 | MN |
| N | 213EG0000X | General Practice | D11553 | MN |
National Provider Identifier
| NPI | 1063485654 |
|---|---|
| Provider Name | Dr. Jay Allan Nesvold |
| First Address | Portsmouth, NH 03801-5455 |
| Second Address | Portsmouth, NH 03801-5455 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1201514 | (05) | MA |
| 30303822 | (05) | NH |
| V07206 | (02) | NH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.