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SCARBOROUGH DENTAL ASSOCIATION P.A. NPI 1255373593


NPI Information

NPI: 1255373593
Provider Name: SCARBOROUGH DENTAL ASSOCIATION, P.A.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
243 US ROUTE 1
SUITE 2
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 883-8911
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SCARBOROUGH DENTAL ASSOCIATION, P.A. 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. SCARBOROUGH DENTAL ASSOCIATION, P.A. NPI is 1255373593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

243 US ROUTE 1
SUITE 2
SCARBOROUGH, ME
ZIP 04074-400
Phone: (207) 883-8911
Fax: (207) 883-6915

The provider's authorized official is Mark R. Buttarazzi .
The authorized official title is Dentist and has the following contact phone number (207) 883-8911.

The enumeration date for this NPI number is 6/12/2006 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 Practice2979MAINEYes
21223G0001XDentistGeneral Practice2416MAINEX
31223G0001XDentistGeneral Practice3618MAINEX
41223E0200XDentistEndodontics2539MAINEX

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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