Community Dental

LBN: Community Dental
Community Dental is an health care organization with primary practice located at 190 Park Ave , Portland ME 04102-2910. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Community Dental can be contacted via phone (207) 874-1028, or through Pelkey, Shelley via phone (207) 874-1025.

Contact Information

Primary practice address
190 Park Ave Portland ME 04102-2910
Phone: (207) 874-1028
Fax: (207) 842-2963
Website:
Map and Directions
Authorized official contact:
Name: Pelkey, Shelley
Phone: (207) 874-1025

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1467528851
LBN Legal business name Community Dental
DBA Doing business as
Authorized official Pelkey, Shelley
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 3 years 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 1467528851 NPPES
Maine MEDICAID 167870000

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