MAINELY TEETH, LLC
Dentist (Dental Public Health)

Address: 166 Regan Ln, Portland, ME 04103-2035

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 166 REGAN LN
City PORTLAND
State ME
Zip Code 04103-2035

Providers in the same zip code prefix

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
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

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.