MLH LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3679 Issued in ME

Legal business name

MLH LLC

Practice address

31 Commerce Park
Ellsworth, ME 04605

Phone

(207) 667-2770

Fax

(207) 667-2770

NPI assigned

Dec 15, 2008

Last updated

Dec 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Lance Horowitz, DDSNPI 1093849325

Title

Owner

Phone

(207) 667-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Lance Horowitz, DDS

  • Dentist
  • Harrington, ME
  • NPI 1093849325
  NPD (past) Authorized official
• Jessica Joan Horowitz, RDH

  • Dental Hygienist
  • Ellsworth, ME
  • NPI 1780818245
  NPD (past)
• Gail E Maddocks, RDH

  • Dental Hygienist
  • Ellsworth, ME
  • NPI 1730313396
  NPD (past)

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1306081666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050605",
            "telephone_number": "207-667-2770",
            "fax_number": "207-667-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COMMERCE PARK",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-2770",
            "fax_number": "207-667-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-667-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289000099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Meyerle, MD
• Leslie Michaud, OT/L
• Christine Lynn Mild, PT
• Angela Mishou, COTA
• Michelle A. Mitchell, MHRT-CSP
• Sarah A V Moffitt, MACP
• Renata Moise, CNM
• Gregory Kirk Molatch, OTR
• Braden Conrad Montgomery, DDS
• Ruth Moore, PHD.

• General Practice Dentistry in Ellsworth, ME
• Providers in Ellsworth, 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 Dec 15, 2008; 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.