Active NPIOrganization

Orthodontic Associates PA

Dentist in South Portland, Maine

NPI Number1598872103
Practice location
440 Western Ave, South Portland, ME 04106
Fax
207-772-7553
Last updated
August 22, 2020

Orthodontic Associates PA is a healthcare organization based in South Portland, ME. Orthodontic Associates PA practices in South Portland, ME. The NPI Number for Orthodontic Associates PA is 1598872103. The current practice location address for Orthodontic Associates PA is 440 Western Ave, South Portland, ME 04106 and can be reached out via phone at 207-772-5487 and via fax at 207-772-7553.

Provider Profile Details

NPI Number
1598872103
Provider Name
Orthodontic Associates PA
Provider Entity Type
Organization
Address
440 Western Ave, South Portland, ME 04106
Phone Number
207-772-5487
Fax Number
207-772-7553
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Bruce Jay Podhouser, DMD ABO · DMD Abo · 207-772-5487
Provider Enumeration Date
August 23, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 Western Ave
South Portland, ME 04106
State
Maine
Zip
04106
Phone Number
207-772-5487
Fax Number
207-772-7553
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
440 Western Ave
South Portland, ME 04106
City
South Portland
State
ME
Zip
04106
Phone Number
207-772-5487
Fax Number
207-772-7553

License Information

License State (1)
NH
Taxonomy (1)
Dentist · 122300000X
License State (2)
ME
Taxonomy (2)
Dentist · 122300000X · 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 Orthodontic Associates PA?

The NPI number of Orthodontic Associates PA is 1598872103. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Orthodontic Associates PA?

Orthodontic Associates PA is registered under the primary taxonomy Dentist (code 122300000X).

Where does Orthodontic Associates PA practice?

The practice location is 440 Western Ave, South Portland, ME 04106. The office can be reached at 207-772-5487 (phone) or 207-772-7553 (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 1598872103 directly on the NPPES registry website.

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