ALICIA DOUGLASS (NPI# 1154604122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604122 |
| Entity Type | Individual |
| Full Name | ALICIA DOUGLASS |
| Credential | DMD |
| Practice Address |
27 Millett Dr Auburn ME 04210-4099 |
| Practice Telephone | 2077841577 |
| Practice Fax Number | 2077865214 |
| Mailing Telephone | 2077841577 |
| Mailing Fax Number | 2077865214 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN4235 | ME | Dental Providers |
| Street Address |
27 MILLETT DR |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295808947 | Clifford B Larlee Jr. | Dentist | 27 Millett Dr, Auburn, ME 04210 | 2006-11-17 |
| 1992924963 | Taylor Brook Dental Associates | Dentist | 27 Millett Dr, Auburn, ME 04210-4055 | 2007-04-25 |
| 1740354083 | Daniel Penan | Dentist | 27 Millett Dr, Auburn, ME 04210 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568026284 | Yi He | Dentist | 1404 Lake Tapps Pkwy Se Ste A103, Auburn, WA 98092-8156 | 2019-04-29 |
| 1841660537 | Auburn Dental Clinic, P. A. | Dentist | 140 A East 9th Street, 140 A, Auburn, KS 66402-0147 | 2015-10-07 |
| 1841672532 | Auburn Dental Group P.C. | Dentist | 492 Washington St, Auburn, MA 01501-5708 | 2015-06-18 |
| 1326425638 | Alayna Ruth Mender | Dentist | 7 Raymond Road, Auburn, NH 03032 | 2015-05-06 |
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1811319205 | Shaun S. Lee D.d.s | Dentist | 1320 8th St Ne Ste 103, Auburn, WA 98002-4589 | 2014-01-20 |
| 1922448778 | Gilsun Yu Dds Pllc | Dentist | 4017 A St Se Ste 104, Auburn, WA 98002-8607 | 2013-06-26 |
| 1861774374 | Deedra A Truschinger | Dentist | 930 N Washington, Auburn, KS 66402 | 2011-09-12 |
| 1275814436 | Ryan Anardi | Dentist | 1320 8th St Ne Ste 101, Auburn, WA 98002-4589 | 2011-09-01 |
| Find all providers in AUBURN | ||||
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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.