Iselborn, Charles Anthony

Iselborn, Charles Anthony is an individual health care provider with primary practice located at 149 Brighton Ave , Portland ME 04102-2312. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Iselborn, Charles Anthony can be contacted via phone (207) 774-0546.

Contact Information

Primary practice address
149 Brighton Ave Portland ME 04102-2312
Phone: (207) 774-0546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3136 Maine

Profile Details

NPI number 1437198397
LBN Legal business name Iselborn, Charles Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437198397 NPPES
Maine Other 3136 DENTAL LICENSE NUMBER

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