HIGH TIDE DENTAL, PA
NPI 1386018281
Dentist - General Practice in Cape Elizabeth, ME

Active since November 17, 2015
176 OCEAN HOUSE RD, CAPE ELIZABETH, ME 04107(207) 767-3211(207) 767-3451 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About High Tide Dental, Pa NPPES

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

HIGH TIDE DENTAL, PA (NPI 1386018281) is a healthcare organization registered as a general practice in Cape Elizabeth, Maine and active in the NPI registry since November 2015. The organization lists Lucas Homicz, Manager, as its authorized official.

NPPES Registry Identity

NPI1386018281
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHIGH TIDE DENTAL, PA
Location Address176 OCEAN HOUSE RDCape Elizabeth, ME 04107-1172
Mailing Address176 Ocean House RdCape Elizabeth, ME 04107-1172 · (207) 767-3211 · Fax (207) 767-3451
Fax(207) 767-3451
Organization SubpartNo
Authorized OfficialLucas HomiczManager · (207) 767-3211
Enumeration DateNovember 17, 2015
NPI 1386018281 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 · 4237
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.

176 OCEAN HOUSE RD, Cape Elizabeth, ME 04107

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

The NPI number assigned to this healthcare provider is 1386018281, enumerated as an "organization" on November 17, 2015.

The provider is located at 176 OCEAN HOUSE RD CAPE ELIZABETH, ME 04107 and the phone number is (207) 767-3211.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.