Individual provider Active NPI

Constantine Vlassopoulos, DDS

  • General Practice Dentistry
  • Kittery, ME
National Provider Identifier
1861840472
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4471 Issued in ME
Practice address
12 Newmarch St
Kittery, ME 03904-1619
Phone
(207) 305-9141
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4471 ME Primary

Addresses

Primary practice location

12 Newmarch St
Kittery, ME 03904-1619

Mailing address

17 Kerasountos Street
Athens, ATTICA 11528
GR
Phone 3012107773423

Other practice location 1

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 538-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260212004312 ME Practitioner - Dentist 3577043249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Columbia University College of Dental Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Maverick St
Rockland, ME 04841-3402

529 S Patten Rd
Patten, ME 04765-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4471MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Feb 9, 2026 Accepting new patients
Katahdin Valley Health Center CurrentSince Feb 9, 2026 Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1861840472",
    "addresses": [
        {
            "country_code": "GR",
            "country_name": "Greece",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "17 KERASOUNTOS STREET",
            "city": "ATHENS",
            "state": "ATTICA",
            "postal_code": "11528",
            "telephone_number": "3012107773423"
        },
        {
            "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": "207-305-9141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Summer St",
            "address_purpose": "LOCATION",
            "city": "Millinocket",
            "state": "ME",
            "postal_code": "044621400",
            "country_code": "US",
            "telephone_number": "207-538-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLASSOPOULOS",
        "first_name": "CONSTANTINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

Verify at the official NPI Registry.