DR. KELLY ANN BARBERA (NPI# 1588158299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588158299 |
Entity Type | Individual |
Full Name | DR. KELLY ANN BARBERA |
Credential | DMD |
Practice Address |
6 Wellspring Rd Ste 105 Biddeford ME 04005-8417 |
Mailing Address |
287 Spring St Apt 8 Portland ME 04102-3756 |
Practice Telephone | 2074947301 |
Mailing Telephone | 8454167601 |
Enumeration Date | 2018-06-16 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DEN4786 | ME | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
DN1858044 | MA | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
6 WELLSPRING RD STE 105 |
City | BIDDEFORD |
State | ME |
Zip Code | 04005-8417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
Find all providers in zip 04005 |
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 |
---|---|---|---|---|
1295259687 | Southern Maine Endodontics | Dentist | 6 Wellspring Rd Ste E, Biddeford, ME 04005-9415 | 2017-07-28 |
1326276924 | Dental Specialists of Yarmouth, LLC | Dentist | 413 Alred Street, Unit B1a, Park 111, Biddeford, ME 04005 | 2009-06-23 |
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 |
1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
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 |
1396869145 | Salim Mohammadi | Dentist | 342 Augusta Rd Ste 3, Winslow, ME 04901-0789 | 2007-03-19 |
1932249158 | Christopher Davis Dorr | Dentist | 237 Wilson St, Brewer, ME 04412-2033 | 2007-02-07 |
1093823841 | Michelle L Mazur-kary | Dentist | 219 Mount Auburn Ave, Ste 1, Auburn, ME 04210 | 2006-08-29 |
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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.