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General NPI Number Information
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NPI Number | 1518335892
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Entity Type | Organization
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Legal Business Name | CENTER FOR SLEEP AND TMJ MAINE
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1601 CONGRESS ST
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City | PORTLAND
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State | ME
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Zip | 04102-2102
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Country | US
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Telephone | 207-780-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 CONGRESS ST
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City | PORTLAND
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State | ME
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Zip | 04102-2102
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Country | US
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Telephone | 207-775-0001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KERR
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Credential | DDS
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Telephone | 207-780-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN2946
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | DEN2946
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License Number State | ME
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