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Dr. John Joseph Illuminati, DDS
General Practice Dentistry in South Portland, Maine
NPI 1225216278

John Joseph Illuminati is a General Practice Dentistry based in South Portland, ME and is specialized in General Practice. John Joseph Illuminati practices in South Portland, ME and has the professional credentials of DDS. The NPI Number for John Joseph Illuminati is 1225216278 and holds a License No. 2953 (Maine).

The current practice location address for John Joseph Illuminati is 20 Long Creek Dr, South Portland, ME and can be reached out via phone at 207-761-4010.

Location: 20 Long Creek Dr, South Portland, ME, 04106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225216278
Provider Name
John Joseph Illuminati
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
20 Long Creek Dr, South Portland, ME, 04106
Phone Number
207-761-4010
Fax Number
Provider Enumeration Date
02/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Long Creek Dr
City
South Portland
State
Maine
Zip
04106
Phone Number
207-761-4010
Fax Number
person
Provider Business Mailing Address Details
Address
20 Long Creek Dr
City
South Portland
State
Maine
Zip
04106
Phone Number
207-761-4010
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2953 (Maine)
Definition
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.
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