Greater Portland Endodontics Pa

LBN: Greater Portland Endodontics Pa
Greater Portland Endodontics Pa is an health care organization with primary practice located at 1330 Congress St , Portland ME 04102-2144. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Greater Portland Endodontics Pa can be contacted via phone (207) 879-0010, or through Fackrell, Daniel C via phone (207) 879-0010.

Contact Information

Primary practice address
1330 Congress St Portland ME 04102-2144
Phone: (207) 879-0010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fackrell, Daniel C Doctor of Dental Medicine (DMD)
Phone: (207) 879-0010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 4291 Maine

Profile Details

NPI number 1316474802
LBN Legal business name Greater Portland Endodontics Pa
DBA Doing business as
Authorized official Fackrell, Daniel C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2017
Last updated May 16th, 2017 - about 8 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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