Angela J Santavicca Dds Pllc
Dental Clinic
367 State Route 120, Unit C, Lebanon
New Hampshire, 03766-1430
603-643-4142 603-643-1740
Maps & DirectionsAngela J Santavicca Dds Pllc is a Dental Clinic in Lebanon, New Hampshire. It is located at 367 State Route 120, Unit C, Lebanon, NH and its contact number is 603-643-4142. The authorized person for Angela J Santavicca Dds Pllc is Jodi L Bergeron
who is Practice Manager of the clinic and their contact number is 603-643-4142. The primary license number for Angela J Santavicca Dds Pllc is 2648 (General Practice) in New Hampshire.
Angela J Santavicca Dds Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Angela J Santavicca Dds Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Angela J Santavicca Dds Pllc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 367 State Route 120, Unit C, Lebanon,
New Hampshire, 03766-1430 |
| Phone: | 603-643-4142 |
| Fax: | 603-643-1740 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jodi L Bergeron |
| Position: | Practice Manager |
| Contact Number: | 603-643-4142 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Angela J Santavicca Dds Pllc clinic are as mentioned below.
| NPI Number: | 1639385289 |
| NPI Enumeration Date: | 14 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Angela J Santavicca Dds Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 2648 | New Hampshire | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 30310640 | Medicaid | New Hampshire | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Angela J Santavicca Dds Pllc
367 State Route 120, Unit C
Lebanon, New Hampshire |
| Zip: | 03766-1430 |
| Phone Number: | 603-643-4142 |
| Fax Number: | 603-643-1740 |
Patients can reach Angela J Santavicca Dds Pllc at
367 State Route 120, Unit C, Lebanon, New Hampshire or can
call to book an appointment on 603-643-4142.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.