HIGH TIDE DENTAL PA NPI 1386018281

NPI Information

  • NPI: 1386018281
  • Provider Name: HIGH TIDE DENTAL, PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 176 OCEAN HOUSE RD
    CAPE ELIZABETH, ME
    ZIP 04107
  • Phone: (207) 767-3211

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NPI Details

HIGH TIDE DENTAL, PA is a general practice dentist in Cape Elizabeth, 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. HIGH TIDE DENTAL, PA NPI is 1386018281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 OCEAN HOUSE RD
CAPE ELIZABETH, ME
ZIP 04107-172
Phone: (207) 767-3211
Fax: (207) 767-3451

The provider's authorized official is Lucas Homicz .
The authorized official title is Manager and has the following contact phone number (207) 767-3211.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice4237MAINEYes

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: 11/21/2025

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