OrganizationActive
Hanover Oral Surgery PLLC
NPI 1043636616 · Oral and Maxillofacial Surgery Clinic/Center · Lebanon, NH
Provider details
- NPI number
- 1043636616
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Terry Bradigan, Owner
- License
- 03746 (NH)
Practice location
367 Route 120
Unit E-1
Lebanon, NH 03766-1430
Phone: (603) 643-1700
Fax: (603) 643-1702
Mailing address
367 Route 120
Lebanon, NH 03766-1430
Registry dates
- Enumerated
- 2014-03-06
- Last updated
- 2014-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.