OrganizationActive
Hanover Road Dental Health, PA
NPI 1164596227 · General Practice Dentistry · Lebanon, NH
Provider details
- NPI number
- 1164596227
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Terry Bradigan, Owner(603) 643-4362
- License
- 2601 (NH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
367 Route 120 Bldg. D
Lebanon, NH 03766
Phone: (603) 643-4362
Fax: (603) 643-4340
Approximate (ZIP-level) locationGet directions
Mailing address
367 Route 120 Bldg. D
Lebanon, NH 03766
Other names (DBA / former)
- Former legal business name
- Kenneth W. Olsen, D.M.D., P.A.
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2015-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.