Dental Specialists Of Maine, Llc in Portland - Endodontics
Dental Specialists Of Maine, Llc - NPI 1811197601
Dental Specialists Of Maine, Llc is a Endodontics in Portland, Maine. Dental Specialists Of Maine, Llc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Dental Specialists Of Maine, Llc is 1811197601. The last update date is 2013-04-01.
Dental Specialists Of Maine, Llc's current location address is 1355 Congress St Ste A, Portland, Maine. You can contact this provider via phone number 2078790010 and fax number 2078790011. The mailing address for Dental Specialists Of Maine, Llc is 1355 Congress St Ste A, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Specialists Of Maine, Llc |
|---|---|
| Address | 1355 Congress St Ste A, Portland, Maine |
| Phone Number | 2078790010 |
| Fax Number | 2078790011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE D |
|---|---|
| Authorized Official Name | Boudreau Jared |
| Credentials | MBA, MSA |
| Telephone Number | 2078790010 |
NPI Number Detail
| NPI Number | 1811197601 |
|---|---|
| Provider Enumeration Date | 2007-07-20 |
| Last Updated Date | 2013-04-01 |
Provider Mailing Address Detail
| Address | 1355 Congress St Ste A |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022137 |
| Phone Number | 2078790010 |
| Fax Number | 2078790011 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 4027 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Dental Specialists Of Maine, Llc by the Centers for Medicare & Medicaid Services?
The Dental Specialists Of Maine, Llc has been issued the NPI (National Provider Identifier) 1811197601. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dental Specialists Of Maine, Llc's physical address?
The Dental Specialists Of Maine, Llc is physically located at 1355 Congress St Ste A, in the city of Portland, ME, with the postal code 41022137.
What is Dental Specialists Of Maine, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dental Specialists Of Maine, Llc is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811197601 to Dental Specialists Of Maine, Llc?
The Centers for Medicare & Medicaid Services assigned the 1811197601 to Dental Specialists Of Maine, Llc on 2007-07-20.
When was the Dental Specialists Of Maine, Llc's information last updated?
The Dental Specialists Of Maine, Llc's information was last updated on 2013-04-01.