NEETHA ANIYA ANTONY BDS
NPI 1538945803
Dentist - Orofacial Pain in Portland, ME

Q: What is Neetha Antony's NPI number?

The NPI number for Neetha Antony is 1538945803. It was assigned to this individual provider in the NPPES registry on September 4, 2023.

Q: What is Neetha Antony's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orofacial Pain, with taxonomy code 1223X2210X.

Q: When was this NPI record last updated?

The NPPES record for Neetha Antony was last updated on September 13, 2023. 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.

Active since September 04, 2023

1 COLLEGE ST, PORTLAND, ME 04103(207) 221-4714 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Neetha Aniya Antony Bds NPPES

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

NEETHA ANIYA ANTONY BDS (NPI 1538945803) is an individual orofacial pain provider in Portland, Maine, licensed in Maine (DEN5072) and active in the NPI registry since September 2023. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1538945803

Entity TypeIndividualFemale

Primary Taxonomy1223X2210X

Provider Legal NameNEETHA ANIYA ANTONYCredential: BDS

Location Address1 COLLEGE STPortland, ME 04103-2617

Mailing Address17 Winchester Dr Unit 202Portland, ME 04103-5243 · (669) 225-8208

Phone(207) 221-4714

Sole ProprietorNo

Enumeration DateSeptember 4, 2023

Last NPPES UpdateSeptember 13, 2023

NPPES CertifiedSeptember 13, 2023

✔ NPI 1538945803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Orofacial PainDental Providers

Taxonomy Code1223X2210X

License✔ Licensed in ME · DEN5072

Definition

A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.

1 COLLEGE ST, Portland, ME 04103

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Secondary Practice Location 1

Location 117 Winchester Dr Unit 202Portland, ME 04103-5243 · Phone (669) 225-8208

Other Identifiers 1

OtherDEN5072ME · Dental License

Other Providers at the Same Location NPPES 20

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

DR. PAUL HARVEY PASTERNACK D.M.D.

Dentist (General Practice)