Provider Demographics
NPI:1285163261
Name:MAYE, DOUGLAS ANTHONY (DMD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ANTHONY
Last Name:MAYE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 PORTZER RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2202
Mailing Address - Country:US
Mailing Address - Phone:1267-258-5120
Mailing Address - Fax:
Practice Address - Street 1:355 EDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1412
Practice Address - Country:US
Practice Address - Phone:215-536-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0413271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice