IndividualActive
Brendan Hallissey
NPI 1003995192 · Dentist · Kittery, ME
Provider details
- NPI number
- 1003995192
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 3815 (ME)
Specialties & taxonomies
Dental Providers
Practice location
12 Newmarch St.
Kittery, ME 03904
Phone: (207) 439-3390
Fax: (207) 439-9006
Approximate (ZIP-level) locationGet directions
Mailing address
12 Newmarch St.
Kittery, ME 03904
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2013-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.