BRIAN E MAHONEY DMD
NPI 1083291405
Clinic/Center - Dental in Vancouver, WA
About Brian E Mahoney Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN E MAHONEY DMD (NPI 1083291405), doing business as Main Street Family Dentistry, is a healthcare organization registered as a dental in Vancouver, Washington and active in the NPI registry since March 2021. The organization lists Jessica Miller, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian E Mahoney Dmd's NPI number?
The NPI number for Brian E Mahoney Dmd is 1083291405. It was assigned to this organization in the NPPES registry on March 24, 2021. The provider is doing business as Main Street Family Dentistry.
Where is Brian E Mahoney Dmd located?
Brian E Mahoney Dmd is located at 3512 Main St, Vancouver, WA 98663. The listed phone number is (360) 696-2513.
What is Brian E Mahoney Dmd's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Brian E Mahoney Dmd was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brian E Mahoney Dmd · NPI 1083291405
Dental organization in Vancouver, Washington. Organization record, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1083291405 (Entity type: Organization)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Main Street Family Dentistry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jessica Miller, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 3512 MAIN ST, Vancouver, WA 98663-2224
- **Phone:** (360) 696-2513
## Record status
- **NPPES last updated:** March 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083291405) · Data from the CMS NPPES public registry.