Ads Denture Technologies LLC

Primary specialty

DenturistTaxonomy code 122400000X

Legal business name

ADS DENTURE TECHNOLOGIES LLC

Doing business as

Jetport Denture Center

Practice address

980 Forest Ave Ste 104
Portland, ME 04103-3357

Phone

(207) 774-7645

NPI assigned

Nov 1, 2023

Last updated

Feb 5, 2025By 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

Ashley D Soucy, LDNPI 1801560842

Title

Owner

Phone

(207) 794-5322

Specialties & licenses 1

Addresses

Other names 1

• Jetport Denture Center Doing business as

Practitioners 2

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.

• Ashley Dawn Soucy, LD

  • Denturist
  • Portland, ME
  • NPI 1801560842
  NPD Authorized official
• Kelly Carbone, LD

  • Denturist
  • Portland, ME
  • NPI 1417287244
  NPD (past)

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1467225466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NOWELL ST",
            "city": "NORTH BERWICK",
            "state": "ME",
            "postal_code": "039066519",
            "telephone_number": "207-794-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 FOREST AVE STE 104",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033357",
            "telephone_number": "207-774-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADS DENTURE TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "SOUCY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-794-5322",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jetport Denture Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jetport Denture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine E Addicott, FNP
• Gregory S Adey, M.D.
• Matthew Francis Adolph, MD
• Lawrence D Adrian, P.A.-C
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• Aetna Health Inc. (Me)

• Denturist in Portland, ME
• Providers in Portland, ME by specialty
• Denturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.