Traub, Daniel Joseph

Traub, Daniel Joseph is an individual health care provider with primary practice located at 131 Johnson Rd Suite 3 , Portland ME 04102. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Traub, Daniel Joseph can be contacted via phone (207) 774-2611.

Contact Information

Primary practice address
131 Johnson Rd Suite 3 Portland ME 04102
Phone: (207) 774-2611
Fax: (207) 774-2613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 007583 Connecticut
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DD-1541 New Mexico

Profile Details

NPI number 1871571711
LBN Legal business name Traub, Daniel Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2006
Last updated Apr 24th, 2019 - about 6 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 1871571711 NPPES
Connecticut MEDICAID 88773
Connecticut MEDICAID 88773

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