Orthodontic Associates PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ORTHODONTIC ASSOCIATES PA

Practice address

440 Western Ave
South Portland, ME 04106

Phone

(207) 772-5487

Fax

(207) 772-7553

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Jay Podhouser, DMD ABO

Title

DMD Abo

Phone

(207) 772-5487

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598872103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-772-5487",
            "fax_number": "207-772-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-772-5487",
            "fax_number": "207-772-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PODHOUSER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DMD ABO",
        "authorized_official_telephone_number": "207-772-5487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD ABO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaymie Elisabeth Oppenheim, LCSW
• Optivacare LLC
• Oral & Maxillofacial Surgery Associates PA
• Carole Orem-Hough, PH.D.
• James Christopher Ortengren, D.D.S.
• Russell Ouellett
• Alison Ouellette, P.T., D.P.T.
• Louise C. Ouellette, LCPC-C
• Adam Wesley Owen, MD
• Melissa Marie Page, MS, RD, CSOWM, LDN

• Dentist in South Portland, ME
• Providers in South Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.