Stephen Gannett Morse in Portland - Periodontics
Stephen Gannett Morse - NPI 1114085255
Stephen Gannett Morse is a Periodontics in Portland, Maine. Stephen Gannett Morse practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephen Gannett Morse is 1114085255. The last update date is 2007-07-08.
Stephen Gannett Morse's current location address is 612 Brighton Ave, Portland, Maine. You can contact this provider via phone number 2077727459 and fax number 2078746460. The mailing address for Stephen Gannett Morse is 612 Brighton Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Gannett Morse |
|---|---|
| Address | 612 Brighton Ave, Portland, Maine |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1114085255 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 612 Brighton Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022359 |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3012 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Stephen Gannett Morse by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen Gannett Morse has been assigned the NPI (National Provider Identifier) 1114085255. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Stephen Gannett Morse's facilities are situated?
The facilities of Stephen Gannett Morse are physically located at the following address: 612 Brighton Ave, Portland, ME, 41022359.
What is Stephen Gannett Morse's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Gannett Morse's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114085255 to Stephen Gannett Morse?
The Centers for Medicare & Medicaid Services assigned the 1114085255 to Stephen Gannett Morse on 2006-12-04.
As of what date were the details pertaining to Stephen Gannett Morse last refreshed?
The information related to the Stephen Gannett Morse, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1982607784
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