Dr. Jon Jay Wendell
Pediatric Dentist
150 Griffin Rd Ste 1
Portsmouth
, New Hampshire 03801-7131
Dr. Jon Jay Wendell
Pediatric Dentist
150 Griffin Rd Ste 1
Portsmouth
, New Hampshire 03801-7131
(603) 436-4158
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Jon Jay Wendell
- 150 Griffin Rd Ste 1
- Portsmouth, NH
- Zip : 03801-7131
- Fax : (603) 436-4158
- Phone : (603) 436-2204
Second Address
- Dr. Jon Jay Wendell
- 150 Griffin Rd Ste 1
- Portsmouth, NH
- Zip : 03801-7131
- Fax : (603) 436-4158
- Phone : (603) 436-2204
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Is Dr. Jon Jay Wendell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 2493 | NH |
National Provider Identifier
| NPI | 1033273842 |
|---|---|
| Provider Name | Dr. Jon Jay Wendell |
| First Address | Portsmouth, NH 03801-7131 |
| Second Address | Portsmouth, NH 03801-7131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2493 | STATE LICENSE NUMBER (01) | NH |
| 30005083 | (05) | 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.