Active NPIIndividual provider

Dr. Bruce J Podhouser, DMD ABO

Dentist in South Portland, Maine

NPI Number1619901857
Practice location
440 Western Ave, South Portland, ME 04106
Fax
207-772-7553
Last updated
July 8, 2007

Bruce Joy Podhouser is a Dentist based in South Portland, ME. Bruce Joy Podhouser practices in South Portland, ME and has the professional credentials of DMD ABO. The NPI Number for Bruce Joy Podhouser is 1619901857 and holds a License No. 3405 (ME). The current practice location address for Bruce Joy Podhouser 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
1619901857
Provider Name
Bruce Joy Podhouser
Credential
DMD ABO
Provider Entity Type
Individual
Gender
Male
Address
440 Western Ave, South Portland, ME 04106
Phone Number
207-772-5487
Fax Number
207-772-7553
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2006
Last Update Date
July 8, 2007
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
84 Rosewood Drive
Raymond, ME 04071
City
Raymond
State
ME
Zip
04071
Phone Number
207-627-9927

License Information

License Number (1)
3405
License State (1)
ME
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
3772
License State (2)
NH
Taxonomy (2)
Dentist · 122300000X

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. Bruce J Podhouser, DMD ABO?

The NPI number of Dr. Bruce J Podhouser, DMD ABO is 1619901857. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce J Podhouser, DMD ABO?

Dr. Bruce J Podhouser, DMD ABO is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number 3405.

Where does Dr. Bruce J Podhouser, DMD ABO 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 1619901857 directly on the NPPES registry website.

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