Active NPIOrganization

207 Periodontics, PLLC

Dentist, Periodontics in Portland, Maine

NPI Number1629724877
Practice location
595 Brighton Ave, Portland, ME 04102-2322
Fax
207-774-1472
Last updated
February 25, 2022

207 Periodontics, PLLC is a healthcare organization based in Portland, ME. 207 Periodontics, PLLC practices in Portland, ME. The NPI Number for 207 Periodontics, PLLC is 1629724877. The current practice location address for 207 Periodontics, PLLC is 595 Brighton Ave, Portland, ME 04102-2322 and can be reached out via phone at 207-774-1471 and via fax at 207-774-1472.

Provider Profile Details

NPI Number
1629724877
Provider Name
207 Periodontics, PLLC
Provider Entity Type
Organization
Address
595 Brighton Ave, Portland, ME 04102-2322
Phone Number
207-774-1471
Fax Number
207-774-1472
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Organization Subpart
No
Authorized Official
Kara Achille, DMD · Owner Dentist · 207-774-1471
Provider Enumeration Date
February 25, 2022
Last Update Date
February 25, 2022
Certification Date
February 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
595 Brighton Ave
Portland, ME 04102-2322
State
Maine
Zip
04102-2322
Phone Number
207-774-1471
Fax Number
207-774-1472
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
595 Brighton Ave
Portland, ME 04102-2322
City
Portland
State
ME
Zip
04102-2322
Phone Number
207-774-1471
Fax Number
207-774-1472

License Information

Taxonomy
Dentist, Periodontics · 1223P0300X · 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 207 Periodontics, PLLC?

The NPI number of 207 Periodontics, PLLC is 1629724877. It was assigned on February 25, 2022 and is currently active in the NPPES registry.

What is the specialty of 207 Periodontics, PLLC?

207 Periodontics, PLLC is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X).

Where does 207 Periodontics, PLLC practice?

The practice location is 595 Brighton Ave, Portland, ME 04102-2322. The office can be reached at 207-774-1471 (phone) or 207-774-1472 (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 1629724877 directly on the NPPES registry website.

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