DENTAL SPECIALISTS OF PORTLAND


Address: 1355 Congress St, Suite A, Portland, ME 04102-2160
Phone: 2078790010

DENTAL SPECIALISTS OF PORTLAND (NPI# 1780868687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780868687
Entity Type Organization
Organization Name DENTAL SPECIALISTS OF PORTLAND
Practice Address 1355 Congress St
Suite A
Portland
ME 04102-2160
Practice Telephone 2078790010
Practice Fax Number 2078790011
Mailing Telephone 2078790010
Mailing Fax Number 2078790011
Enumeration Date 2007-12-27
Last Update Date 2007-12-27
Authorized Official Name MISS MARCIE PAULINE PHILLIPS (PRACTICE MANAGER)
Authorized Official Telephone 2078790010
Is Organization Subpart Y
Parent Organization Name DENTAL SPECIALISTS OF YARMOUTH, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
3810 ME Dental Providers

Office Location

Street Address 1355 CONGRESS ST
SUITE A
City PORTLAND
State ME
Zip Code 04102-2160

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396259040 Scott L. Barry, Dmd, PC Dentist 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 2017-11-16
1386084564 Sonja R Evans Dentist 82 Coyle St, Portland, ME 04101-1628 2013-07-02
1770849838 West Coast Endodontics, PC Dentist 9907 Se Division Street, Ste A, Portland, OR 87266 2012-04-03
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
1346467404 Tony Bassili Dentist 11982 Ne Glisan St, Portland, OR 97220-2143 2007-04-19
1427029503 Brooks Bradley Horan Dentist 405 Se 133rd Ave, Portland, OR 97233-1809 2006-01-27
1497749881 Scott W Edgar Dentist 1020 Ne 2nd Ave, #320, Portland, OR 97232-2064 2005-08-31
1053312595 Danielle Paige Wingrove Dentist 2730 Sw Moody Ave # 5n032, Portland, OR 97201 2005-08-09
1508867102 Stephen Cutrera Dentist 2211 Lloyd Ctr, Portland, OR 97232-1315 2005-08-03
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 04102

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Dataset Information

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.

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