Active NPIIndividual provider

Mr. David L Bagdasarian, DDS

Dentist, General Practice in Portland, Maine

NPI Number1124143839
Practice location
1334 Washington Ave, Portland, ME 04103-3670
Fax
207-797-8305
Last updated
July 8, 2007

David L Bagdasarian is a Dentist, General Practice based in Portland, ME. David L Bagdasarian practices in Portland, ME and has the professional credentials of DDS. The NPI Number for David L Bagdasarian is 1124143839 and holds a License No. 2886 (ME). The current practice location address for David L Bagdasarian is 1334 Washington Ave, Portland, ME 04103-3670 and can be reached out via phone at 207-797-5834 and via fax at 207-797-8305.

Provider Profile Details

NPI Number
1124143839
Provider Name
David L Bagdasarian
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1334 Washington Ave, Portland, ME 04103-3670
Phone Number
207-797-5834
Fax Number
207-797-8305
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1334 Washington Ave
Portland, ME 04103-3670
State
Maine
Zip
04103-3670
Phone Number
207-797-5834
Fax Number
207-797-8305
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
1334 Washington Ave
Portland, ME 04103-3670
City
Portland
State
ME
Zip
04103-3670
Phone Number
207-797-5834
Fax Number
207-797-8305

License Information

License Number
2886
License State
ME
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. David L Bagdasarian, DDS?

The NPI number of Mr. David L Bagdasarian, DDS is 1124143839. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. David L Bagdasarian, DDS?

Mr. David L Bagdasarian, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 2886.

Where does Mr. David L Bagdasarian, DDS practice?

The practice location is 1334 Washington Ave, Portland, ME 04103-3670. The office can be reached at 207-797-5834 (phone) or 207-797-8305 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124143839 directly on the NPPES registry website.

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