Portland Dental Health Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORTLAND DENTAL HEALTH CARE

Practice address

315 Auburn St
Portland, ME 04103-2179

Phone

(207) 797-5000

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Michelle R Davis, DMD

Title

President

Phone

(207) 797-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dheeraj Pamidimukkala, DMD

  • General Practice Dentistry
  • Portland, ME
  • NPI 1447355276
  NPD (past)
• Chad Wendell Phillips, DDS

  • Dentist
  • Portland, ME
  • NPI 1922676436
  NPD (past)
• Michelle Renee Verrier-Davis, D.M.D.

  • Dentist
  • Portland, ME
  • NPI 1124073192
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1639110349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032179",
            "telephone_number": "207-797-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032179",
            "telephone_number": "207-797-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND DENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-797-5000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Community Health Center (East End Community School)
• Portland Community Health Center (Greater Portland Health)
• Portland Community Health Center
• Portland Community Health Center (Greater Portland Health)
• Portland Community Health Center (Greater Portland Health)
• Portland Disc Center PLLC (Absolute Health Chiropractic and Massage)
• Portland Endoscopy Center
• Portland Family Dental
• Portland Foot & Ankle, PA
• Portland Gastroenterology Associates P.a.

• Dental Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.