Seaside Maine Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SEASIDE MAINE DENTISTRY

Practice address

413 Alfred St Ste 101
Biddeford, ME 04005-3742

Phone

(207) 490-7030

NPI assigned

Dec 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mila I

Title

Operations Manager

Phone

(207) 569-8167

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anna Victorovna Ivanova, DMD

  • General Practice Dentistry
  • Biddeford, ME
  • NPI 1023538253
  NPD

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1770179970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 ALFRED ST STE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053742",
            "telephone_number": "207-569-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 ALFRED ST STE 101",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053742",
            "telephone_number": "207-490-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE MAINE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-12",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "I",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "207-569-8167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seacoast Medical Care, P.a.
• Seacoast Physical Therapy Limited Partnership
• Denise Searles, LCSW, CADC
• Jennifer Lynne Sears, D.O.
• Karin Sears, LSW
• Ana Waltraud Seifridsberger, MT
• Ahdaf J Shamkhi
• Stephen Curtis Shannon, D.O.
• Alec Shappy
• Catherine A Share, MD

• Dental Clinic/Center in Biddeford, ME
• Providers in Biddeford, 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 Feb 22, 2022; 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.