Charles Anthony Iselborn in Portland - Dentist
Charles Anthony Iselborn - NPI 1437198397
Charles Anthony Iselborn is a Dentist in Portland, Maine. Charles Anthony Iselborn practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Anthony Iselborn is 1437198397. The last update date is 2007-07-08.
Charles Anthony Iselborn's current location address is 149 Brighton Ave, Portland, Maine. You can contact this provider via phone number 2077740546. The mailing address for Charles Anthony Iselborn is 149 Brighton Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Anthony Iselborn |
|---|---|
| Address | 149 Brighton Ave, Portland, Maine |
| Phone Number | 2077740546 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1437198397 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 149 Brighton Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022312 |
| Phone Number | 2077740546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3136 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3136 | ME | DENTAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Charles Anthony Iselborn by the Centers for Medicare & Medicaid Services?
The Charles Anthony Iselborn has been issued the NPI (National Provider Identifier) 1437198397. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles Anthony Iselborn is located?
The Charles Anthony Iselborn is situated at the following address: 149 Brighton Ave, Portland, ME, 41022312.
What is Charles Anthony Iselborn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Anthony Iselborn is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1437198397 to Charles Anthony Iselborn?
The Centers for Medicare & Medicaid Services originally issued the 1437198397 to Charles Anthony Iselborn on 2006-06-06.
As of what date were the details related to Charles Anthony Iselborn most recently updated or revised?
The information pertaining to Charles Anthony Iselborn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL