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PORTLAND DENTAL HEALTH CARE NPI 1639110349


NPI Information

NPI: 1639110349
Provider Name: PORTLAND DENTAL HEALTH CARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
315 AUBURN ST
PORTLAND, ME
ZIP 04103
Phone: (207) 797-5000
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PORTLAND DENTAL HEALTH CARE is a dental clinic center in Portland, ME. PORTLAND DENTAL HEALTH CARE NPI is 1639110349. The provider is registered as an organization entity type.

The provider's business location address is:

315 AUBURN ST
PORTLAND, ME
ZIP 04103-179
Phone: (207) 797-5000

The provider's authorized official is Michelle R Davis .
The authorized official title is President and has the following contact phone number (207) 797-5000.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/15/2007.


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
1261QD0000XClinic/CenterDentalYes

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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