Montressor Lamar Upshaw, DDS

Dentist · Bangor, ME

Individual Active NPI

NPI number 1295965036

Practice location

1048 Union St
Penobscot Community Health Center
Bangor, ME 04401-3016
Phone
(207) 992-2152

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NPI record

NPI
1295965036
Entity type
Individual (Type 1)
Enumeration date
July 14, 2009
Last updated
July 20, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DEN4484 ME

Mailing address

PO Box 1599
Penobscot Community Health Center
Bangor, ME 04402-1599
Phone
(207) 945-5247

About Dr. Upshaw

Montressor Lamar Upshaw, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1048 Union St, Penobscot Community Health Center, Bangor, ME 04401-3016. The NPI number 1295965036 was assigned on July 14, 2009 and the record was last updated on July 20, 2016.

Dr. Upshaw lists a license in the registry: #DEN4484 (ME) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Montressor Lamar Upshaw, DDS?

The NPI number is 1295965036.

What is the phone number of Dr. Upshaw?

The phone number listed for the practice location is (207) 992-2152.

Where is Dr. Upshaw located?

1048 Union St, Penobscot Community Health Center, Bangor, ME 04401-3016.

What is the taxonomy code for Dr. Upshaw?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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