CANDID MAINE PC (NPI# 1881209641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881209641 |
| Entity Type | Organization |
| Organization Name | CANDID MAINE PC |
| Practice Address |
415 Congress St Ste 201 Portland ME 04101-3500 |
| Mailing Address |
44 W 28th St Fl 14 New York NY 10001-4212 |
| Practice Telephone | 8604817631 |
| Mailing Telephone | 8604817631 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | DR. RICHARD D'AVANZO (OWNER) |
| Authorized Official Telephone | 8604817631 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
415 CONGRESS ST STE 201 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547116 | Comfort Orthodontics PC | Dentist | 1702 Us Highway 181 Ste A8, Portland, TX 78374-3588 | 2020-01-17 |
| 1306497094 | Smile Clinic, LLC | Dentist | 163 Fore St Ste A, Portland, ME 04101-6806 | 2019-09-24 |
| 1447721295 | Alix Jisun Leemin | Dentist | 2350 Sw Multnomah Blvd Ste C, Portland, OR 97219-3999 | 2018-12-05 |
| 1891208724 | Jd Miller Dds PC | Dentist | 2250 Nw Flanders St Ste 112, Portland, OR 97210-5409 | 2017-11-14 |
| 1487059986 | Damonco Pllc | Dentist | 1702 Hwy 181 N, Suite A-8, Portland, TX 78374-3588 | 2014-10-27 |
| 1437581881 | Tamara Justus | Dentist | 11790 Sw Barnes Rd Ste 390, Portland, OR 97225-5935 | 2013-08-07 |
| 1992146484 | Rachel Yamakawa | Dentist | 4419 Se Woodstock Blvd, Portland, OR 97206-6271 | 2013-07-11 |
| 1275974271 | Lauren Weber | Dentist | 0677 Sw Lowell St Apt 355, Portland, OR 97239-4423 | 2013-07-08 |
| 1255649885 | Marie Lathrop | Dentist | 5737 Se Milwaukie Ave, Portland, OR 97202-4919 | 2010-09-16 |
| 1568796274 | Jennifer J Crowe | Dentist | 3332 N Lombard St Ste B, Portland, OR 97217-1258 | 2009-09-28 |
| Find all providers in PORTLAND | ||||
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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.