IndividualActive
Tamer Theodory, DDS
NPI 1124498779 · Dentist · Portland, ME
Provider details
- NPI number
- 1124498779
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 30451 (IA)
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
University of New England College of Dental Medicine
716 Stevens Avenue
Portland, ME 04103
Phone: (207) 221-4863
Approximate (ZIP-level) locationGet directions
Mailing address
University of New England College of Dental Medicine
Portland, ME 04103
Registry dates
- Enumerated
- 2015-09-25
- Last updated
- 2022-06-27
- Certified
- 2022-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.