Ajisa Liti, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN5020 Issued in ME

Practice address

12 Newmarch St
Kittery, ME 03904-1619

Phone

(207) 439-3390

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

Yes

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

• Downeast Center for Restorative Dentistry

  • Dentist
  • Kittery, ME
  • NPI 1568709772
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2023.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1699355461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NEWMARCH ST",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 NEWMARCH ST",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041619",
            "telephone_number": "207-439-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITI",
        "first_name": "AJISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Florence Leisentritt
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• Calvin Limberg, PHARM.D.
• Tyler James Lowe, O.D.
• Cynthia Grace Luma, MED, LCPC, LMHC, LMF
• Luna Nutrition Therapy, LLC
• Donna Mackenzie
• Carrie Ann Macleod, NP

• All providers in Kittery, ME
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.