Mark R. Lebel Jr., DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK R. LEBEL JR., DMD, PA

Doing business as

1330 Dental Associates

Practice address

1330 Congress St Ste 2
Portland, ME 04102-2144

Phone

(207) 773-3738

Fax

(207) 773-5872

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By 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

Mark Raymond Lebel Jr., DMDNPI 1477588671

Title

President/Owner

Phone

(207) 773-3738

Specialties & licenses 1

Addresses

Other names 1

• 1330 Dental Associates Doing business as

Locations

Practitioners 1

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.

• Mark R Lebel Jr., DMD

  • Dentist
  • Portland, ME
  • NPI 1477588671
  Authorized official Same address or phone

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1851142749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CONGRESS ST STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022144",
            "telephone_number": "207-773-3738",
            "fax_number": "207-773-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CONGRESS ST STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022144",
            "telephone_number": "207-773-3738",
            "fax_number": "207-773-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. LEBEL JR., DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LEBEL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-773-3738",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1330 Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Cumbie Counseling, LLC
• Margaret J Schoeller MD PA
• Jessica Marino, MS, CCC-SLP
• Richard T Marino Jr., M.D.
• Mark G Kiefner PHD LLC
• Abby A Markham, MD
• Zeus Markos, LCSW
• Christina Markoulis
• Nancy Lerman Markowitz, LMFT
• Katherine H. Marks, MD

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.