- Practice location
- 190 Park Ave, Portland, ME 04102-2910
- Phone
- 207-874-1028
- Fax
- —
- Last updated
- June 15, 2018
Mattie Paradise is a Dentist based in Portland, ME. Mattie Paradise practices in Portland, ME and has the professional credentials of DDS. The NPI Number for Mattie Paradise is 1508350307 and holds a License No. DEN4626 (ME). The current practice location address for Mattie Paradise is 190 Park Ave, Portland, ME 04102-2910 and can be reached out via phone at 207-874-1028.
Provider Profile Details
- NPI Number
- 1508350307
- Provider Name
- Mattie Paradise
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 190 Park Ave, Portland, ME 04102-2910
- Phone Number
- 207-874-1028
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 15, 2018
- Last Update Date
- June 15, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 190 Park Ave
Portland, ME 04102-2910 - City
- Portland
- State
- Maine
- Zip
- 04102-2910
- Phone Number
- 207-874-1028
Provider Business Mailing Address Details
- Address
- 324 Shore RD
Ogunquit, ME 03907-3902 - City
- Ogunquit
- State
- ME
- Zip
- 03907-3902
License Information
- License Number
- DEN4626
- License State
- ME
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Portland, ME
View all Dentists in Portland →Frequently Asked Questions
What is the NPI number of Dr. Mattie Paradise, DDS?
The NPI number of Dr. Mattie Paradise, DDS is 1508350307. It was assigned on June 15, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Mattie Paradise, DDS?
Dr. Mattie Paradise, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number DEN4626.
Where does Dr. Mattie Paradise, DDS practice?
The practice location is 190 Park Ave, Portland, ME 04102-2910. The office can be reached at 207-874-1028 (phone).
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 1508350307 directly on the NPPES registry website.