Coastal Family Dental

LBN: Alexandra Y Peacock Cathcart Dmd Llc
Coastal Family Dental is an health care organization with primary practice located at 110 Auburn Street , Portland ME 04103. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Alexandra Y Peacock Cathcart Dmd Llc can be contacted via phone (207) 797-7433, or through Peacock Cathcart, Alexandra Yamva via phone (413) 446-6346.

Contact Information

Primary practice address
110 Auburn Street Portland ME 04103
Phone: (207) 797-7433
Fax: (207) 797-7720
Website:
Map and Directions
Authorized official contact:
Name: Peacock Cathcart, Alexandra Yamva Doctor of Dental Medicine (DMD)
Phone: (413) 446-6346

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3047 Maine

Profile Details

NPI number 1154446672
LBN Legal business name Alexandra Y Peacock Cathcart Dmd Llc
DBA Doing business as Coastal Family Dental
Authorized official Peacock Cathcart, Alexandra Yamva Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 27th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154446672 NPPES
Maine MEDICAID 124010000

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