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Neetha Aniya Antony, BDS
Orofacial Pain Dentist in Portland, Maine
NPI 1538945803

Neetha Aniya Antony is a Orofacial Pain Dentist based in Portland, ME and is specialized in Orofacial Pain. Neetha Aniya Antony practices in Portland, ME and has the professional credentials of BDS. The NPI Number for Neetha Aniya Antony is 1538945803 and holds a License No. DEN5072 (Maine).

The current practice location address for Neetha Aniya Antony is 1 College St, Portland, ME and can be reached out via phone at 207-221-4714. You can also correspond with Neetha Aniya Antony through the mailing address at 17 WINCHESTER DR UNIT 202, PORTLAND, ME - 04103-5243 (mailing address contact number: 669-225-8208).

Location: 1 College St, Portland, ME, 04103-5243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538945803
Provider Name
Neetha Aniya Antony
Credential
BDS
Provider Entity Type
Individual
Gender
Female
Address
1 College St, Portland, ME, 04103-5243
Phone Number
207-221-4714
Fax Number
Provider Enumeration Date
09/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DEN5072 01 ME DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1 College St
City
Portland
State
Maine
Zip
04103-2617
Phone Number
207-221-4714
Fax Number
person
Provider Business Mailing Address Details
Address
1 College St
City
Portland
State
Maine
Zip
04103-2617
Phone Number
207-221-4714
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
DEN5072 (Maine)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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