GREATER PORTLAND ENDODONTICS PA
NPI 1316474802
Dentist - Endodontics in Portland, ME

Active since May 16, 2017
1330 CONGRESS ST, PORTLAND, ME 04102(207) 879-0010 Get Directions Write a Review

NPPES record last updated: May 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greater Portland Endodontics Pa NPPES

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

GREATER PORTLAND ENDODONTICS PA (NPI 1316474802) is a healthcare organization registered as an endodontics in Portland, Maine and active in the NPI registry since May 2017. The organization lists Daniel C Fackrell, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1316474802
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameGREATER PORTLAND ENDODONTICS PA
Location Address1330 CONGRESS STPortland, ME 04102-2144
Mailing Address9 Holly DrCumberland, ME 04021-3950 · (860) 716-6856
Organization SubpartNo
Authorized OfficialDaniel C FackrellEndodontist · (207) 879-0010
Enumeration DateMay 16, 2017
NPI 1316474802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in ME · 4291
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1330 CONGRESS ST, Portland, ME 04102

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

Other Providers at the Same Location NPPES 5

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

Dentist
1330 CONGRESS ST
PORTLAND, ME 04102
Dentist (Oral and Maxillofacial Pathology)
1330 CONGRESS ST
PORTLAND, ME 04102
Dentist (Oral and Maxillofacial Pathology)
1330 CONGRESS ST
PORTLAND, ME 04102
Dentist
1330 CONGRESS ST
PORTLAND, ME 04102
Dentist
1330 CONGRESS ST
PORTLAND, ME 04102

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 Greater Portland Endodontics PA's NPI number?

The NPI number for Greater Portland Endodontics PA is 1316474802. It was assigned to this organization in the NPPES registry on May 16, 2017.

Where is Greater Portland Endodontics PA located?

Greater Portland Endodontics PA is located at 1330 Congress St, Portland, ME 04102. The listed phone number is (207) 879-0010.

What is Greater Portland Endodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Greater Portland Endodontics PA was last updated on May 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.