ROOT DENTAL SPECIALISTS (NPI# 1033741905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033741905 |
| Entity Type | Organization |
| Organization Name | ROOT DENTAL SPECIALISTS |
| Practice Address |
192 Western Ave South Portland ME 04106-2428 |
| Practice Telephone | 2074050004 |
| Practice Fax Number | 2074050004 |
| Mailing Telephone | 2074050004 |
| Mailing Fax Number | 2074050004 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. STEPHEN J TANGREDI (OWNER/DOCTOR) |
| Authorized Official Telephone | 2074050004 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Endodontic Specialists of Maine | Former Legal Business Name - Organization |
| Street Address |
192 WESTERN AVE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104195064 | Pkv,inc | Dentist | 192 Western Ave, South Portland, ME 04106-2428 | 2011-12-22 |
| 1316123565 | Progressive Dental Care, LLC | Dentist | 192 Western Ave, South Portland, ME 04106-2428 | 2008-01-18 |
| 1760668818 | Esthetic Dentistry of Maine, LLC | Dentist | 192 Western Ave, South Portland, ME 04106-2428 | 2008-01-18 |
| 1831216654 | Michael W. Parker | Dentist | 192 Western Ave, South Portland, ME 04106-2428 | 2007-03-25 |
| 1982721148 | John Stedman Do | Family Medicine | 192 Western Ave, South Portland, ME 04106-2428 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755651 | Apex Endodontics, LLC | Dentist | 30 Concourse W, Waterville, ME 04901-6007 | 2020-09-22 |
| 1205498870 | Mallick Endodontics | Dentist | 1 Cumberland Pl Ste 202, Bangor, ME 04401-5088 | 2019-07-03 |
| 1194293696 | Topsham Endodontics | Dentist | 275 Bath Rd Ste 6, Brunswick, ME 04011-2671 | 2018-11-02 |
| 1588158299 | Kelly Ann Barbera | Dentist | 6 Wellspring Rd Ste 105, Biddeford, ME 04005-8417 | 2018-06-16 |
| 1295259687 | Southern Maine Endodontics | Dentist | 6 Wellspring Rd Ste E, Biddeford, ME 04005-9415 | 2017-07-28 |
| 1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
| 1326276924 | Dental Specialists of Yarmouth, LLC | Dentist | 413 Alred Street, Unit B1a, Park 111, Biddeford, ME 04005 | 2009-06-23 |
| 1780868687 | Dental Specialists of Portland | Dentist | 1355 Congress St, Suite A, Portland, ME 04102-2160 | 2007-12-27 |
| 1811197601 | Dental Specialists of Maine, LLC | Dentist | 1355 Congress St Ste A, Portland, ME 04102-2137 | 2007-07-20 |
| 1437365889 | Jason A Garlock | Dentist | 276 Canco Road, Granite Heights, Portland, ME 04103 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.