Maine Center for Dental Medicine PA
NPI 1558605642ActiveOrganization· Dentist, General Practice· Skowhegan, ME
Dentist, General Practice in Skowhegan, Maine, registered in NPPES in November 2012. The authorized official on file is Mohammed Mansoorul Imam, D.D.S., President/Dentist.
Overview
| NPI | 1558605642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2012 |
| Last updated in NPPES | Nov 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DEN4231 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Skowhegan
- 1912116468
- 1598932907
- 1700678497
- 1184517468
- 1164463022
- 1922625573