Portland North Dental Associates, P.A. in Portland - General Practice
Portland North Dental Associates, P.A. - NPI 1356425763
Portland North Dental Associates, P.A. is a General Practice in Portland, Maine. Portland North Dental Associates, P.A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Portland North Dental Associates, P.A. is 1356425763. The last update date is 2020-08-22.
Portland North Dental Associates, P.A.'s current location address is 9 Sanborn St, Portland, Maine. You can contact this provider via phone number 2078783100. The mailing address for Portland North Dental Associates, P.A. is 9 Sanborn St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portland North Dental Associates, P.A. |
|---|---|
| Address | 9 Sanborn St, Portland, Maine |
| Phone Number | 2078783100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Derice Anthony Robert |
| Credentials | D.M.D. |
| Telephone Number | 2078783100 |
NPI Number Detail
| NPI Number | 1356425763 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9 Sanborn St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41032107 |
| Phone Number | 2078783100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2652 |
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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. |
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What is the Portland North Dental Associates, P.A.'s 1356425763?
The Portland North Dental Associates, P.A.'s NPI (National Provider Identifier) Number is 1356425763. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Portland North Dental Associates, P.A. is geographically located?
The Portland North Dental Associates, P.A. is physically situated at the following location: 9 Sanborn St, Portland, ME, 41032107.
What is Portland North Dental Associates, P.A.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Portland North Dental Associates, P.A.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Portland North Dental Associates, P.A.'s 1356425763 issued?
The Portland North Dental Associates, P.A.'s 1356425763 was issued on 2006-10-24.
As of what date was the information regarding Portland North Dental Associates, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Portland North Dental Associates, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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