Richard Intiso D.M.D., Pa in Windham - General Practice

Richard Intiso D.M.D., Pa - NPI 1417074733

Richard Intiso D.M.D., Pa is a General Practice in Windham, Maine. Richard Intiso D.M.D., Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Intiso D.M.D., Pa is 1417074733. The last update date is 2020-08-22.

Richard Intiso D.M.D., Pa's current location address is 4 Commons Ave Ste 2, Windham, Maine. You can contact this provider via phone number 2078932001 and fax number 2078932006. The mailing address for Richard Intiso D.M.D., Pa is 4 Commons Ave Ste 2, Windham, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Richard Intiso D.M.D., Pa
Address 4 Commons Ave Ste 2, Windham, Maine
Phone Number 2078932001
Fax Number 2078932006
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Intiso M Richard
Credentials DMD
Telephone Number 2078932001

NPI Number Detail

NPI Number 1417074733
Provider Enumeration Date 2007-03-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4 Commons Ave Ste 2
City Windham
State Maine (ME)
Post Code 40625554
Phone Number 2078932001
Fax Number 2078932006

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DENTAL 3564
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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FAQs about Richard Intiso D.M.D., Pa

What is the unique identification code assigned to Richard Intiso D.M.D., Pa by the Centers for Medicare & Medicaid Services?

The Richard Intiso D.M.D., Pa has been issued the NPI (National Provider Identifier) 1417074733. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Richard Intiso D.M.D., Pa's facilities are situated?

The facilities of Richard Intiso D.M.D., Pa are physically located at the following address: 4 Commons Ave Ste 2, Windham, ME, 40625554.

What is Richard Intiso D.M.D., Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Intiso D.M.D., Pa's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When did the Richard Intiso D.M.D., Pa receive its 1417074733?

The Richard Intiso D.M.D., Pa was issued its 1417074733 on 2007-03-23, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Richard Intiso D.M.D., Pa most recently updated or revised?

The information pertaining to Richard Intiso D.M.D., Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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