Adam Elwood L'Italien, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4532 Issued in ME

Practice address

10 Granite Way
Rockport, ME 04856-5747

Phone

(207) 236-2400

NPI assigned

May 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Access Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lincoln, ME
  • NPI 1295993616
  NPD (past)

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1194253690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 RUSS RD",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048434055",
            "telephone_number": "207-951-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANITE WAY",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565747",
            "telephone_number": "207-236-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "L'ITALIEN",
        "first_name": "ADAM",
        "middle_name": "ELWOOD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-27",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kuennen-Breen, SLP
• Kuhn Foster Home
• Kimberly Jane Kuhn
• Keiko Mary Ida Kurita, FNP
• Marcia Ann Kyle, RD, LD, CDE
• Andrew Lackoff, M.D.
• Benjamin Lacy, DMD
• Joel David Lafleur, MD
• Rebecca Mary Laliberte, DMD
• Van Laliberte, P.T

• General Practice Dentistry in Rockport, ME
• Providers in Rockport, 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 Mar 5, 2020; 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.