IndividualActive
Alex Mazurenko, DMD
NPI 1962591461 · General Practice Dentistry · Portland, ME
Provider details
- NPI number
- 1962591461
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME6595 (ME)
Specialties & taxonomies
Dental Providers
Practice location
2401 Congress St
Suite #2
Portland, ME 04102-1932
Phone: (207) 773-2111
Fax: (207) 773-1811
Approximate (ZIP-level) locationGet directions
Mailing address
6 Cottonwood Ln
Falmouth, ME 04105
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.