| Dr John Joseph Illuminati, DDS | |
|
20 Long Creek Dr, South Portland, ME 04106 | |
| (207) 761-4010 | |
| Not Available |
| Full Name | Dr John Joseph Illuminati |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 20 Long Creek Dr, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225216278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2953 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Joseph Illuminati, DDS 20 Long Creek Dr, South Portland, ME 04106 Ph: (207) 761-4010 | Dr John Joseph Illuminati, DDS 20 Long Creek Dr, South Portland, ME 04106 Ph: (207) 761-4010 |
Jacob Fillebrown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 Gannett Dr Ste 500, South Portland, ME 04106 Phone: 207-253-5600 | |
Dr. Peter Rene Then, DMD DR MED DENT Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188 | |
Dr. John Bede Corey, DMD PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188 | |
Dr. Gary Allan Kokx, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496 | |
Dr. Nathan Timothy Oakes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-517-6279 | |
Dr. Michael Thomas Ruetty, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, South Portland, ME 04106 Phone: 207-775-2072 | |
Richard W Crawford, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 440 Western Ave, South Portland, ME 04106 Phone: 207-774-2611 Fax: 207-774-2613 |