- Practice location
- 1330 Congress Street, Portland, ME 04102
- Phone
- 207-773-3738
- Fax
- 207-773-5872
- Last updated
- August 22, 2020
1330 Dental Associates is a healthcare organization based in Portland, ME. 1330 Dental Associates practices in Portland, ME. The NPI Number for 1330 Dental Associates is 1629022611 and holds a License No. 2654 (ME). The current practice location address for 1330 Dental Associates is 1330 Congress Street, Portland, ME 04102 and can be reached out via phone at 207-773-3738 and via fax at 207-773-5872.
Provider Profile Details
- NPI Number
- 1629022611
- Provider Name
- 1330 Dental Associates
- Provider Entity Type
- Organization
- Address
- 1330 Congress Street, Portland, ME 04102
- Phone Number
- 207-773-3738
- Fax Number
- 207-773-5872
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. James G Bennas, DMD · President · 207-773-3738
- Provider Enumeration Date
- May 22, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1330 Congress Street
Portland, ME 04102 - City
- Portland
- State
- Maine
- Zip
- 04102
- Phone Number
- 207-773-3738
- Fax Number
- 207-773-5872
Provider Business Mailing Address Details
- Address
- 1330 Congress Street
Portland, ME 04102 - City
- Portland
- State
- ME
- Zip
- 04102
- Phone Number
- 207-773-3738
- Fax Number
- 207-773-5872
License Information
- License Number (1)
- 2654
- License State (1)
- ME
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 3251
- License State (2)
- ME
- Taxonomy (2)
- Dentist · 122300000X
- License Number (3)
- 3533
- License State (3)
- ME
- Taxonomy (3)
- Dentist · 122300000X
- License Number (4)
- 3693
- License State (4)
- ME
- Taxonomy (4)
- Dentist · 122300000X
- License Number (5)
- 3052
- License State (5)
- ME
- Taxonomy (5)
- 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 1330 Dental Associates?
The NPI number of 1330 Dental Associates is 1629022611. It was assigned on May 22, 2006 and is currently active in the NPPES registry.
What is the specialty of 1330 Dental Associates?
1330 Dental Associates is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number 2654.
Where does 1330 Dental Associates practice?
The practice location is 1330 Congress Street, Portland, ME 04102. The office can be reached at 207-773-3738 (phone) or 207-773-5872 (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 1629022611 directly on the NPPES registry website.