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JEFFREY EMANUEL DETTORI DDS
NPI 1194931998
Dentist - General Practice in Auburn, ME

Active since May 16, 2007PECOS Enrolled
155 CENTER ST, BLDG D 9, AUBURN, ME 04210(207) 783-2521(207) 783-3150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Emanuel Dettori Dds NPPES

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

JEFFREY EMANUEL DETTORI DDS (NPI 1194931998) is an individual general practice provider in Auburn, Maine, licensed in Maine (3478) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194931998
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJEFFREY EMANUEL DETTORICredential: DDS
Location Address155 CENTER ST, BLDG D 9Auburn, ME 04210
Mailing AddressPo Box 742Auburn, ME 04212-0742 · (207) 576-6338
Phone(207) 783-2521
Fax(207) 783-3150
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194931998 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 · 3478
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.
155 CENTER ST, Auburn, ME 04210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Emanuel Dettori Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL K. CYR, DC, PA
Chiropractor
155 CENTER ST
AUBURN, ME 04210
Androscoggin County (207) 784-5120
DR. CHRISTOPHER MICHAEL CYR D.C.
Chiropractor
155 CENTER ST
AUBURN, ME 04210
Androscoggin County (207) 784-5120
ERIKA OUELLETTE
Social Worker (Clinical)
155 CENTER ST, BUILDING F
AUBURN, ME 04210
Androscoggin County (207) 777-5888
DR. JOHN SCOTT BERNARDY D.D.S.
Dentist (General Practice)
155 CENTER ST, BLDG D-9
AUBURN, ME 04210
Androscoggin County (207) 783-2521
KELLY SCHUSSLER LMSW-CC
Social Worker (Clinical)
155 CENTER ST, BUILDING F
AUBURN, ME 04210
Androscoggin County (207) 777-5888
SLOANE BECKER LMSW
Social Worker (Clinical)
155 CENTER ST
AUBURN, ME 04210
Androscoggin County (207) 777-5888
PATHWAYS OF MAINE, INC.
Community/Behavioral Health
155 CENTER ST, BLDG. F
AUBURN, ME 04210
Androscoggin County (207) 373-0620
RIVERVIEW DENTAL ASSOCIATES
Dentist (General Practice)
155 CENTER ST, BLDG D
AUBURN, ME 04210
Androscoggin County (207) 783-2521

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 Jeffrey Dettori's NPI number?

The NPI number for Jeffrey Dettori is 1194931998. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jeffrey Dettori located?

Jeffrey Dettori practices at 155 Center St Bldg D 9, Auburn, ME 04210. The listed phone number is (207) 783-2521.

What is Jeffrey Dettori's specialty?

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

Is Jeffrey Dettori enrolled in Medicare?

Yes. Jeffrey Dettori is registered in the Medicare PECOS enrollment system.

What insurance does Jeffrey Dettori accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jeffrey Dettori as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Dettori was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.