DR. JENNA T PULKKA (NPI# 1528221116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528221116 |
| Entity Type | Individual |
| Full Name | DR. JENNA T PULKKA |
| Credential | D.M.D |
| Practice Address |
568 Lisbon St Suite 1 Lisbon Falls ME 04252-1138 |
| Practice Telephone | 2074074301 |
| Mailing Telephone | 2074074301 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2015-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN4065 | ME | Dental Providers |
| Street Address |
568 LISBON ST SUITE 1 |
| City | LISBON FALLS |
| State | ME |
| Zip Code | 04252-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083003255 | Lisbon Family Dental Care | Dentist | 568 Lisbon St, Suite 1, Lisbon Falls, ME 04252-1138 | 2015-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144974 | Denys Lynn Robertson | Occupational Therapist | 714 Lisbon St, Lisbon Falls, ME 04252 | 2013-11-01 |
| 1912022351 | Phillip A Carter | Family Medicine | 583 Lisbon Rd., Lisbon Falls, ME 04252 | 2007-03-21 |
| 1942443056 | Ashley Michelle Wood | Massage Therapist | 16 Main St, Lisbon Falls, ME 04252 | 2009-04-20 |
| 1801028428 | Jeffrey F Charest | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2009-08-15 |
| 1417028796 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 575 Lisbon Street, Lisbon Falls, ME 04252-1114 | 2006-11-10 |
| 1831701747 | Justin William Richards | Pharmacist | 575 Lisbon St, Lisbon, ME 04252-1114 | 2020-08-21 |
| 1932624939 | Walgreen Co | Pharmacy | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2017-08-10 |
| 1245784891 | William Torrey Collinson | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-12 |
| 1508310871 | Tyson Fredriksen | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-04 |
| 1063898419 | Charles Cooper | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2015-08-08 |
| Find all providers in zip 04252 | ||||
| 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 |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1811529522 | Wagner Auguste Dental Pllc | Dentist | 206 High St Ste D, Ellsworth, ME 04605-1741 | 2020-02-11 |
| 1912537739 | Center for Advanced Dentistry of Yarmouth | Dentist | 45 Forest Falls Dr Ste B3, Yarmouth, ME 04096-6999 | 2020-01-21 |
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1033778246 | Alex Boucher | Dentist | 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 | 2019-06-11 |
| 1659939098 | Valerie Anne Lariviere | Dentist | 813b Main St, Waterboro, ME 04087-3006 | 2019-05-31 |
| 1427611144 | S & S Dental Group | Dentist | 2 Livewell Dr Apt 105, Kennebunk, ME 04043-6763 | 2019-04-18 |
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1386138394 | Robert Grant Belanger II | Dentist | 681 Augusta Rd, Belmont, ME 04952-3023 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | LISBON FALLS |
| Zip Code | 04252 |
Please comment or provide details below to improve the information on DR. JENNA T PULKKA.
| 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.