Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hanover Oral Surgery PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1043636616

Hanover Oral Surgery PLLC is an Oral and Maxillofacial Surgery Clinic/Center in Lebanon, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2014.

Licensed in
NH
In the registry since
2014
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

367 Route 120 Unit E-1
Lebanon, NH 03766-1430
Phone: (603) 643-1700
Fax: (603) 643-1702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 2601 (NH)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X · Licence 03746 (NH)

Record details

NPI number1043636616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terry Bradigan — Owner · (603) 643-1700
NPI enumeratedMarch 6, 2014
Last updated in NPPESMarch 6, 2014
Mailing address367 Route 120, Unit E-1, Lebanon, NH 03766-1430