Paul Harvey Pasternack, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

ME3131 Issued in ME

Practice address

1 College St
Portland, ME 04103-2617

Phone

(207) 221-4747

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1013064567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SURREY LN",
            "city": "DURHAM",
            "state": "NH",
            "postal_code": "038244411",
            "telephone_number": "603-659-2064",
            "fax_number": "603-664-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032617",
            "telephone_number": "207-221-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Century Pines Dr",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "NH",
            "postal_code": "038253732",
            "country_code": "US",
            "telephone_number": "603-664-7850",
            "fax_number": "603-664-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTERNACK",
        "first_name": "PAUL",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN3131",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "2027",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "ME3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Parsons, DO
• Matthew Willis Parsons, MD
• Amy Partridge-Barber, LCSW
• Susan Elizabeth Partridge, MSW, PH.D.
• Passport Health Holdings, LLC (Passport Health)
• Alexandra Catherine Pastore, APRN-AGACNP
• David Alan Patch Jr., LCPC
• Karishma Hitesh Patel, DO
• Shivani Patel, MD
• Urvi J Patel, MD

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.