David L Bagdasarian in Portland - General Practice

David L Bagdasarian - NPI 1124143839

David L Bagdasarian is a General Practice in Portland, Maine. David L Bagdasarian practices all healthcare services and medical treatments related to General Practice. The NPI Number for David L Bagdasarian is 1124143839. The last update date is 2007-07-08.

David L Bagdasarian's current location address is 1334 Washington Ave, Portland, Maine. You can contact this provider via phone number 2077975834 and fax number 2077978305. The mailing address for David L Bagdasarian is 1334 Washington Ave, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name David L Bagdasarian
Address 1334 Washington Ave, Portland, Maine
Phone Number 2077975834
Fax Number 2077978305
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1124143839
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1334 Washington Ave
City Portland
State Maine (ME)
Post Code 41033670
Phone Number 2077975834
Fax Number 2077978305

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2886
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
462967 ME BCBS

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FAQs about David L Bagdasarian

What is the unique identifier code issued to David L Bagdasarian by the Centers for Medicare & Medicaid Services (CMS)?

The David L Bagdasarian has been assigned the NPI (National Provider Identifier) 1124143839. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of David L Bagdasarian?

The David L Bagdasarian is physically situated at 1334 Washington Ave, in the city of Portland, state of ME, with the postal code 41033670.

What is David L Bagdasarian's area of expertise and its corresponding taxonomy classification?

The David L Bagdasarian's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124143839 to David L Bagdasarian?

The Centers for Medicare & Medicaid Services originally issued the 1124143839 to David L Bagdasarian on 2007-03-20.

As of what date was the information regarding David L Bagdasarian, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David L Bagdasarian, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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