MAINELY TEETH, LLC (NPI# 1992391536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992391536 |
| Entity Type | Organization |
| Organization Name | MAINELY TEETH, LLC |
| Practice Address | 166 Regan Ln Portland ME 04103-2035 |
| Practice Telephone | 2078089498 |
| Mailing Address | 166 Regan Ln Portland ME 04103-2035 |
| Mailing Telephone | 2072000592 |
| Certification Date | 2020-12-17 |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2020-12-17 |
| Authorized Official Telephone | 0722000592 |
| Authorized Official Credential | IPDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 1223D0001X | Dentist Specialization: Dental Public Health | 193400000X SINGLE SPECIALTY GROUP | Dental Providers |
| Street Address | 166 REGAN LN |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC · Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis · Hannah Rose Mccomish | Counselor · Addiction (Substance Use Disorder) | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477616720 | Jia Lin Goh | 2403 Se Monroe St Ste F, Portland, OR 97222-7646 | 2006-12-18 | |
| 1174979934 | Native American Rehabilitation Association Northwest, Inc. · Nara Nw-Dental Clinic | 12750 Se Stark St, Building E, Portland, OR 97233-1539 | 2016-05-11 | |
| 1841441904 | Dental Outreach Oregon | 4707 Sw Kelly Ave, Suite 205, Portland, OR 97239-4252 | 2008-10-08 | |
| 1710002324 | City of Portland Maine Hhs, Phd | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-20 | |
| 1063591931 | Alexander Gregory Brodsky | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258715 | Daniel Duarte | 237 Main St, Bingham, ME 04920-4015 | 2020-06-01 | |
| 1265747919 | Philip B Norton | 52 Christian Ridge Rd, Ellsworth, ME 04605-3210 | 2010-08-18 | |
| 1740591882 | Rebekah L Blanchette | 715 Hammond St, Bangor, ME 04401-4515 | 2010-06-23 | |
| 1710002324 | City of Portland Maine Hhs, Phd | 389 Congress St, Room 307, Portland, ME 04101-3509 | 2007-03-20 |
| City | PORTLAND |
| Zip Code | 04103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174971519 | Teeth R Us Children's Dentistry Pllc · Teeth R Us | Dentist · Pediatric Dentistry | 4865 Hedgcoxe Rd, Ste 100, Plano, TX 75024-2406 | 2016-05-26 |
| 1790010809 | Academy Dental - Perfect Teeth PC · Perfect Teeth - North Wilmot PC | Dentist · General Practice | 6126 E. Speedway Blvd, Tucson, AZ 85712 | 2009-10-07 |
| 1346257276 | Little Teeth of Texas Dentistry for Children Pa · Little Teeth of Texas | Dentist · Pediatric Dentistry | 21714 Hardy Oak Blvd, Ste 102, San Antonio, TX 78258 | 2006-08-02 |
| 1568974434 | Utah Wisdom Teeth, LLC · Wisdom Teeth Guys | Dentist · Oral and Maxillofacial Surgery | 1030 E 11400 S Ste 2a, Sandy, UT 84094-6906 | 2017-10-31 |
| 1528518909 | Wisdom Teeth Only · Dr. Wisdom Teeth | Dentist | 2230 N University Pkwy Ste 8a, Provo, UT 84604-6702 | 2016-10-10 |
| 1760727358 | Mainely Eyes | Eyewear Supplier | 663 Stillwater Ave, Bangor, ME 04401-3645 | 2012-12-07 |
| 1134616634 | Irving Tiny Teeth, Pllc · Texas Tiny Teeth Pediatric Dentistry and Orthodontics | Dentist · Pediatric Dentistry | 2450 N Belt Line Rd Ste 110, Irving, TX 75062-5124 | 2018-04-19 |
| 1801433750 | Mainely Kids & Teens, LLC | Dentist · Pediatric Dentistry | 8 Shuman Ave, Augusta, ME 04330-7751 | 2019-12-10 |
| 1730327792 | Mainely Kidz Pt | Clinic/Center · Physical Therapy | 205 Bolt Hill Rd, Eliot, ME 03903-1942 | 2009-01-29 |
| 1992298533 | Dr Wisdom Teeth · Dr Wisdom Teeth | Clinic/Center · Dental | 287 E Hunt Hwy Ste 101, San Tan Valley, AZ 85143-5096 | 2018-06-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.