Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN JOSEPH ILLUMINATI, DDS
Active Sole ProprietorDR. JOHN JOSEPH ILLUMINATI, DDS is a General Dentistry healthcare provider located in SOUTH PORTLAND, Maine. NPI 1225216278 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SOUTH PORTLAND, ME
Registration Details
- NPI Number
- 1225216278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2008 (18.500259299396 yrs)
- Last Updated
- Feb 1, 2008
- License
-
2953 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 LONG CREEK DRSOUTH PORTLAND, ME, 04106Browse ME providers · Browse ZIP 04106
- Phone
- 2077614010
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SOUTH PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DR. GARY ALLAN KOKX | D.M.D. | 1073541264 |
| DR. TODD D RAY | DMD | 1639107857 |
| JEAN PAUL BOUDREAU | DMD | 1548292725 |
| DR. LAURA ELIZABETH KRAUSE | DDS | 1487705562 |
| DR. MICHAEL THOMAS RUETTY | D.D.S. | 1154469740 |
| DR. JAMES CHRISTOPHER ORTENGREN | D.D.S. | 1578697686 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.