- Practice location
- 110 Auburn Street, Portland, ME 04103
- Phone
- 207-797-7433
- Fax
- 207-797-7720
- Last updated
- June 27, 2024
Alexandra Y Peacock Cathcart DMD LLC is a healthcare organization based in Portland, ME. Alexandra Y Peacock Cathcart DMD LLC practices in Portland, ME. The NPI Number for Alexandra Y Peacock Cathcart DMD LLC is 1154446672 and holds a License No. 3047 (ME). The current practice location address for Alexandra Y Peacock Cathcart DMD LLC is 110 Auburn Street, Portland, ME 04103 and can be reached out via phone at 207-797-7433 and via fax at 207-797-7720.
Provider Profile Details
- NPI Number
- 1154446672
- Provider Name
- Alexandra Y Peacock Cathcart DMD LLC
- Provider Entity Type
- Organization
- Address
- 110 Auburn Street, Portland, ME 04103
- Phone Number
- 207-797-7433
- Fax Number
- 207-797-7720
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Alexandra Yamva Peacock Cathcart, DMD · Owner · 413-446-6346
- Other Names
- Coastal Family Dental (Doing Business As)
- Provider Enumeration Date
- March 21, 2007
- Last Update Date
- June 27, 2024
- Certification Date
- November 30, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 110 Auburn Street
Portland, ME 04103 - City
- Portland
- State
- Maine
- Zip
- 04103
- Phone Number
- 207-797-7433
- Fax Number
- 207-797-7720
Provider Business Mailing Address Details
- Address
- 110 Auburn Street
Portland, ME 04103 - City
- Portland
- State
- ME
- Zip
- 04103
- Phone Number
- 207-797-7433
- Fax Number
- 207-797-7720
License Information
- License Number
- 3047
- License State
- ME
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Alexandra Y Peacock Cathcart DMD LLC?
The NPI number of Alexandra Y Peacock Cathcart DMD LLC is 1154446672. It was assigned on March 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Alexandra Y Peacock Cathcart DMD LLC?
Alexandra Y Peacock Cathcart DMD LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3047.
Where does Alexandra Y Peacock Cathcart DMD LLC practice?
The practice location is 110 Auburn Street, Portland, ME 04103. The office can be reached at 207-797-7433 (phone) or 207-797-7720 (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 1154446672 directly on the NPPES registry website.