DR. DANIEL JOSEPH TRAUB (NPI# 1871571711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871571711 |
| Entity Type | Individual |
| Full Name | DR. DANIEL JOSEPH TRAUB |
| Credential | DDS |
| Practice Address |
131 Johnson Rd Suite 3 Portland ME 04102 |
| Practice Telephone | 2077742611 |
| Practice Fax Number | 2077742613 |
| Mailing Telephone | 2077742611 |
| Mailing Fax Number | 2077742613 |
| Enumeration Date | 2006-01-01 |
| Last Update Date | 2019-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
007583 | CT | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DD-1541 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 88773 | 05 | |
| NM | 88773 | 05 |
| Street Address |
131 JOHNSON RD SUITE 3 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
| 1780728998 | Normund Karl Auzins | Dentist | 3549 N Lombard St, Portland, OR 97217-5901 | 2007-02-19 |
| 1962412312 | Steven Wayne Beadnell | Dentist | 11786 Sw Barnes Rd Ste 110, Portland, OR 97225-5926 | 2006-08-08 |
| 1639103658 | Columbia Park Oral Surgery PC | Dentist | 3549 N Lombard, Portland, OR 97217-5901 | 2006-07-10 |
| 1881674042 | Kim K Erickson | Dentist | 511 10th Ave Suite 808, Portland, OR 97205-4661 | 2006-01-21 |
| 1972588374 | Julie Ann Smith | Dentist | 8931 Se Foster Rd, Portland, OR 97266-4661 | 2005-12-08 |
| 1952717084 | Maine Coast Oral Surgery | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2014-07-09 |
| 1740695527 | Adam Peter Fagin | Dentist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-06-30 |
| 1073928289 | Nadir Elias | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2014-06-25 |
| 1821352238 | Caitlin Barstow Low Magraw | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2012-06-29 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on DR. DANIEL JOSEPH TRAUB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.