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ESTHETIC DENTISTRY OF MAINE LLC NPI 1760668818


NPI Information

NPI: 1760668818
Provider Name: ESTHETIC DENTISTRY OF MAINE, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
192 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 772-1996
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ESTHETIC DENTISTRY OF MAINE, LLC is a general practice dentist in South Portland, 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. ESTHETIC DENTISTRY OF MAINE, LLC NPI is 1760668818. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

192 WESTERN AVE
SOUTH PORTLAND, ME
ZIP 04106-428
Phone: (207) 772-1996

The provider's authorized official is Daniel J Armstrong .
The authorized official title is Dentist and has the following contact phone number (207) 772-1996.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/18/2008.


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 Practice2490Yes

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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