Jetport Denture Center Inc.

LBN: Jetport Denture Center Inc.
Jetport Denture Center Inc. is an health care organization with primary practice located at 980 Forest Ave Ste 104 , Portland ME 04103-3357. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Jetport Denture Center Inc. can be contacted via phone (207) 774-7645, or through Carbone, Austin via phone (207) 774-7645.

Contact Information

Primary practice address
980 Forest Ave Ste 104 Portland ME 04103-3357
Phone: (207) 774-7645
Fax: (207) 828-5298
Website:
Map and Directions
Authorized official contact:
Name: Carbone, Austin LD
Phone: (207) 774-7645

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X

Profile Details

NPI number 1922723543
LBN Legal business name Jetport Denture Center Inc.
DBA Doing business as
Authorized official Carbone, Austin LD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2022
Last updated Oct 6th, 2022 - about 2 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 1922723543 NPPES
Maine Other DTR5001 STATE OF MAINE DENTURIST LICENSE

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