FORTIN DENTURE CLINIC LLC
NPI 1053141382
Denturist in Augusta, ME

Active since August 02, 2024
2689 N BELFAST AVE, AUGUSTA, ME 04330(207) 341-0968 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Denturist

About FORTIN DENTURE CLINIC LLC

This page provides the complete NPI Profile along with additional information for Fortin Denture Clinic Llc, a provider established in Augusta, Maine operating as a Denturist. The healthcare provider is registered in the NPI registry with number 1053141382 assigned on August 2024. The practitioner's primary taxonomy code is 122400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Allan Joseph Fortin Ld (President)

NPI
1053141382 Verify this NPI
Provider Name
FORTIN DENTURE CLINIC LLC
Entity Type
Organization
Location Address
2689 N BELFAST AVE AUGUSTA, ME 04330
Location Phone
(207) 341-0968
Mailing Address
4 N CIRCLE DR FAIRFIELD, ME 04937
Mailing Phone
(207) 341-0968
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2024
Last Update Date
08-02-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Denturist

Taxonomy Code
122400000X
Type
Dental Providers
Taxonomy Description
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALLAN JOSEPH FORTIN LD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(207) 341-0968

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
2689 N BELFAST AVE
AUGUSTA, ME 04330
Dentist (General Practice)
2689 N BELFAST AVE
AUGUSTA, ME 04330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053141382, enumerated as an "organization" on August 02, 2024.

The provider is located at 2689 N BELFAST AVE AUGUSTA, ME 04330 and the phone number is (207) 341-0968.

Denturist with taxonomy code 122400000X.