Provider Demographics
NPI:1124505581
Name:NORTEY DENTAL PLLC
Entity type:Organization
Organization Name:NORTEY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NII NORTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOKKO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:076-465-2972
Mailing Address - Street 1:1332 POST RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-4562
Mailing Address - Country:US
Mailing Address - Phone:207-646-5297
Mailing Address - Fax:
Practice Address - Street 1:1332 POST RD STE 1A
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4562
Practice Address - Country:US
Practice Address - Phone:207-646-5297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X
MEDEN4340122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty