Julissa Magdaly Guerra Percolla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4488 Issued in ME

Practice address

190 Park Ave
Portland, ME 04102-2910

Phone

(207) 874-1028

NPI assigned

Jul 18, 2016

Last updated

Nov 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Smilestry PLLC

  • Dental Clinic/Center
  • Scarborough, ME
  • NPI 1134010481
  NPD Authorized official
• Robert P. Nakaki Dental Corporation

  dba Stadium Dental Group

  • General Practice Dentistry
  • Manteca, CA
  • NPI 1841471299
  NPD (past)

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1457704207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PAYNE RD STE 102",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745569",
            "telephone_number": "207-503-0030",
            "fax_number": "207-503-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022910",
            "telephone_number": "207-874-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2288 Daniels St",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953376706",
            "country_code": "US",
            "telephone_number": "209-456-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA PERCOLLA",
        "first_name": "JULISSA",
        "middle_name": "MAGDALY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100457",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Silva Guastucci
• Peter E Guay, D.O
• Natalia Gudcova, MD
• Nicole M Guerard, CRNA
• Jessica Guerette
• Lydia Guerrette, PA-C
• Morgan Guerrette, CRNA
• Barrie Marie Guertin
• Ronald S Guibord, M.D.
• Ben Jacob Guido, 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 Nov 1, 2025; 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.