Hallissey, Alexis Marthajane

Hallissey, Alexis Marthajane is an individual health care provider with primary practice located at 23 Walker St , Kittery ME 03904-1728. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Hallissey, Alexis Marthajane can be contacted via phone (207) 439-2310.

Contact Information

Primary practice address
23 Walker St Kittery ME 03904-1728
Phone: (207) 439-2310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 03858 New Hampshire
Dental Providers / Dentist 122300000X 4412 Maine

Profile Details

NPI number 1770894149
LBN Legal business name Hallissey, Alexis Marthajane
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2010
Last updated Apr 6th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770894149 NPPES
New Hampshire MEDICAID 30309908

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