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MARK DIAMOND DDS LLC NPI 1174732937


NPI Information

NPI: 1174732937
Provider Name: MARK DIAMOND DDS LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
500 ENTERPRISE DR
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-4285
Get Directions

MARK DIAMOND DDS LLC is a general practice dentist in Scarborough, ME. The provider is 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. MARK DIAMOND DDS LLC NPI is 1174732937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 ENTERPRISE DR
SCARBOROUGH, ME
ZIP 04074-646
Phone: (207) 883-4285
Fax: (207) 883-9891

The provider's authorized official is Mark John Diamond .
The authorized official title is Owner and has the following contact phone number (207) 883-4285.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice3321MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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