Active NPIIndividual provider

Allen J Fortin, LD

Denturist in Brewer, Maine

NPI Number1467144527
Practice location
403 Wilson St, Brewer, ME 04412-1521
Fax
207-412-0015
Last updated
June 1, 2023

Allen J Fortin is a Denturist based in Brewer, ME. Allen J Fortin practices in Brewer, ME and has the professional credentials of LD. The NPI Number for Allen J Fortin is 1467144527 and holds a License No. DTR5543 (ME). The current practice location address for Allen J Fortin is 403 Wilson St, Brewer, ME 04412-1521 and can be reached out via phone at 207-667-6222 and via fax at 207-412-0015.

Provider Profile Details

NPI Number
1467144527
Provider Name
Allen J Fortin
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
403 Wilson St, Brewer, ME 04412-1521
Phone Number
207-667-6222
Fax Number
207-412-0015
Primary Taxonomy
Denturist · 122400000X
Sole Proprietor
No
Provider Enumeration Date
May 25, 2023
Last Update Date
June 1, 2023
Certification Date
June 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
403 Wilson St
Brewer, ME 04412-1521
City
Brewer
State
Maine
Zip
04412-1521
Phone Number
207-667-6222
Fax Number
207-412-0015
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
23 Carriage RD Ste 2
Ellsworth, ME 04605-2412
City
Ellsworth
State
ME
Zip
04605-2412
Phone Number
207-667-6222
Fax Number
207-412-0015

License Information

License Number
DTR5543
License State
ME
Taxonomy
Denturist · 122400000X · 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 Allen J Fortin, LD?

The NPI number of Allen J Fortin, LD is 1467144527. It was assigned on May 25, 2023 and is currently active in the NPPES registry.

What is the specialty of Allen J Fortin, LD?

Allen J Fortin, LD is registered under the primary taxonomy Denturist (code 122400000X), licensed in ME under license number DTR5543.

Where does Allen J Fortin, LD practice?

The practice location is 403 Wilson St, Brewer, ME 04412-1521. The office can be reached at 207-667-6222 (phone) or 207-412-0015 (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 1467144527 directly on the NPPES registry website.

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