Kelly Ann Kirtland in Portland - Pediatric Dentistry
Kelly Ann Kirtland - NPI 1275535320
Kelly Ann Kirtland is a Pediatric Dentistry in Portland, Maine. Kelly Ann Kirtland practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kelly Ann Kirtland is 1275535320. The last update date is 2021-05-26.
Kelly Ann Kirtland's current location address is 716 Stevens Ave, Portland, Maine. You can contact this provider via phone number 2072214634. The mailing address for Kelly Ann Kirtland is 716 Stevens Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Kirtland |
|---|---|
| Address | 716 Stevens Ave, Portland, Maine |
| Phone Number | 2072214634 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS,MS,MA |
NPI Number Detail
| NPI Number | 1275535320 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2021-05-26 |
Provider Mailing Address Detail
| Address | 716 Stevens Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 410326930 |
| Phone Number | 2072214634 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DEN4848 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to Kelly Ann Kirtland by the Centers for Medicare & Medicaid Services?
The Kelly Ann Kirtland has been assigned the NPI (National Provider Identifier) 1275535320. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Ann Kirtland?
The Kelly Ann Kirtland is physically situated at 716 Stevens Ave, in the city of Portland, state of ME, with the postal code 410326930.
What is Kelly Ann Kirtland's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelly Ann Kirtland is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did the Kelly Ann Kirtland receive its 1275535320?
The Kelly Ann Kirtland was issued its 1275535320 on 2005-06-01, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kelly Ann Kirtland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Ann Kirtland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-26.