Active NPIOrganization

High Tide Dental, PA

Dentist, General Practice in Cape Elizabeth, Maine

NPI Number1386018281
Practice location
176 Ocean House RD, Cape Elizabeth, ME 04107-1172
Fax
207-767-3451
Last updated
November 17, 2015

High Tide Dental, PA is a healthcare organization based in Cape Elizabeth, ME. High Tide Dental, PA practices in Cape Elizabeth, ME. The NPI Number for High Tide Dental, PA is 1386018281 and holds a License No. 4237 (ME). The current practice location address for High Tide Dental, PA is 176 Ocean House RD, Cape Elizabeth, ME 04107-1172 and can be reached out via phone at 207-767-3211 and via fax at 207-767-3451.

Provider Profile Details

NPI Number
1386018281
Provider Name
High Tide Dental, PA
Provider Entity Type
Organization
Address
176 Ocean House RD, Cape Elizabeth, ME 04107-1172
Phone Number
207-767-3211
Fax Number
207-767-3451
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Lucas Homicz · Manager · 207-767-3211
Provider Enumeration Date
November 17, 2015
Last Update Date
November 17, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
176 Ocean House RD
Cape Elizabeth, ME 04107-1172
State
Maine
Zip
04107-1172
Phone Number
207-767-3211
Fax Number
207-767-3451
Cape Elizabeth, ME 04107Get directions →

Provider Business Mailing Address Details

Address
176 Ocean House RD
Cape Elizabeth, ME 04107-1172
City
Cape Elizabeth
State
ME
Zip
04107-1172
Phone Number
207-767-3211
Fax Number
207-767-3451

License Information

License Number
4237
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 High Tide Dental, PA?

The NPI number of High Tide Dental, PA is 1386018281. It was assigned on November 17, 2015 and is currently active in the NPPES registry.

What is the specialty of High Tide Dental, PA?

High Tide Dental, PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 4237.

Where does High Tide Dental, PA practice?

The practice location is 176 Ocean House RD, Cape Elizabeth, ME 04107-1172. The office can be reached at 207-767-3211 (phone) or 207-767-3451 (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 1386018281 directly on the NPPES registry website.

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