Active NPIIndividual providerSole proprietor

Dr. Demetri Antoniou, MD, DMD

Otolaryngology in Portland, Maine

NPI Number1477646800
Practice location
15 Sewall St, Portland, ME 04102-2641
Fax
207-774-3126
Last updated
July 8, 2007

Demetri Antoniou is an Otolaryngology based in Portland, ME. Demetri Antoniou practices in Portland, ME and has the professional credentials of MD, DMD. The NPI Number for Demetri Antoniou is 1477646800 and holds a License No. 012240 (ME). The current practice location address for Demetri Antoniou is 15 Sewall St, Portland, ME 04102-2641 and can be reached out via phone at 207-774-1775 and via fax at 207-774-3126.

Provider Profile Details

NPI Number
1477646800
Provider Name
Demetri Antoniou
Credential
MD, DMD
Provider Entity Type
Individual
Gender
Male
Address
15 Sewall St, Portland, ME 04102-2641
Phone Number
207-774-1775
Fax Number
207-774-3126
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Sewall St
Portland, ME 04102-2641
State
Maine
Zip
04102-2641
Phone Number
207-774-1775
Fax Number
207-774-3126
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
15 Sewall St
Portland, ME 04102-2641
City
Portland
State
ME
Zip
04102-2641
Phone Number
207-774-1775
Fax Number
207-774-3126

License Information

License Number
012240
License State
ME
Taxonomy
Otolaryngology · 207Y00000X · 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 Dr. Demetri Antoniou, MD, DMD?

The NPI number of Dr. Demetri Antoniou, MD, DMD is 1477646800. It was assigned on September 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Demetri Antoniou, MD, DMD?

Dr. Demetri Antoniou, MD, DMD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in ME under license number 012240.

Where does Dr. Demetri Antoniou, MD, DMD practice?

The practice location is 15 Sewall St, Portland, ME 04102-2641. The office can be reached at 207-774-1775 (phone) or 207-774-3126 (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 1477646800 directly on the NPPES registry website.

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