Active NPIIndividual providerSole proprietor

Kevin M Connelly, DMD

Dentist, General Practice in Lewiston, Maine

NPI Number1881789824
Practice location
1065 Lisbon St, Lewiston, ME 04240-5749
Fax
207-376-4979
Last updated
February 20, 2012

Kevin M Connelly is a Dentist, General Practice based in Lewiston, ME. Kevin M Connelly practices in Lewiston, ME and has the professional credentials of DMD. The NPI Number for Kevin M Connelly is 1881789824 and holds a License No. 3619 (ME). The current practice location address for Kevin M Connelly is 1065 Lisbon St, Lewiston, ME 04240-5749 and can be reached out via phone at 207-376-4977 and via fax at 207-376-4979.

Provider Profile Details

NPI Number
1881789824
Provider Name
Kevin M Connelly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1065 Lisbon St, Lewiston, ME 04240-5749
Phone Number
207-376-4977
Fax Number
207-376-4979
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
February 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1065 Lisbon St
Lewiston, ME 04240-5749
State
Maine
Zip
04240-5749
Phone Number
207-376-4977
Fax Number
207-376-4979
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
1065 Lisbon St
Lewiston, ME 04240-5749
City
Lewiston
State
ME
Zip
04240-5749
Phone Number
207-376-4977
Fax Number
207-376-4979

License Information

License Number
3619
License State
ME
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Kevin M Connelly, DMD?

The NPI number of Kevin M Connelly, DMD is 1881789824. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin M Connelly, DMD?

Kevin M Connelly, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3619.

Where does Kevin M Connelly, DMD practice?

The practice location is 1065 Lisbon St, Lewiston, ME 04240-5749. The office can be reached at 207-376-4977 (phone) or 207-376-4979 (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 1881789824 directly on the NPPES registry website.

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