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COASTAL FAMILY DENTAL
NPI 1154446672
Dentist - General Practice in Portland, ME

Active since March 21, 2007
110 AUBURN STREET, PORTLAND, ME 04103(207) 797-7433(207) 797-7720 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jun 11, 2024, Nov 30, 2020 (3 updates tracked since 2020).

About Coastal Family Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL FAMILY DENTAL (NPI 1154446672) is a healthcare organization registered as a general practice in Portland, Maine and active in the NPI registry since March 2007. The organization lists Alexandra Yamva Peacock Cathcart, Owner, as its authorized official.

NPPES Registry Identity

NPI1154446672
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALEXANDRA Y PEACOCK CATHCART DMD LLC
Location Address110 AUBURN STREETPortland, ME 04103
Mailing Address110 Auburn StreetPortland, ME 04103 · (207) 797-7433 · Fax (207) 797-7720
Phone(207) 797-7433
Fax(207) 797-7720
Organization SubpartNo
Authorized OfficialAlexandra Yamva Peacock CathcartOwner · (413) 446-6346
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1154446672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 3047
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
110 AUBURN STREET, Portland, ME 04103
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Other Names 1

Doing Business AsCoastal Family Dental

Other Identifiers 1

Medicaid124010000ME

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Alexandra Y Peacock Cathcart Dmd LLC's NPI number?

The NPI number for Alexandra Y Peacock Cathcart Dmd LLC is 1154446672. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Coastal Family Dental.

Where is Alexandra Y Peacock Cathcart Dmd LLC located?

Alexandra Y Peacock Cathcart Dmd LLC is located at 110 Auburn Street, Portland, ME 04103. The listed phone number is (207) 797-7433.

What is Alexandra Y Peacock Cathcart Dmd LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alexandra Y Peacock Cathcart Dmd LLC was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.