Provider Demographics
NPI:1699817452
Name:DIAS, CECILIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:
Last Name:DIAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BACK RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT POINT
Mailing Address - State:ME
Mailing Address - Zip Code:04667-4119
Mailing Address - Country:US
Mailing Address - Phone:207-853-0644
Mailing Address - Fax:207-853-2347
Practice Address - Street 1:11 BACK RD
Practice Address - Street 2:
Practice Address - City:PLEASANT POINT
Practice Address - State:ME
Practice Address - Zip Code:04667-4119
Practice Address - Country:US
Practice Address - Phone:207-853-0644
Practice Address - Fax:207-853-2347
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice