Individual
DR. CHRISTOPHER ALLEN COTTERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4747
Mailing address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4784
(207) 523-1915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7968
KY
1223P0221X
Pediatric Dentistry
754
KY
1223P0221X
Pediatric Dentistry
9401
NC
1223P0221X
Pediatric Dentistry
DEN.00203359
CO
1223P0221X
Pediatric Dentistry
Primary
DEN5092
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003530
—
KY
Enumeration date
06/23/2006
Last updated
12/05/2023
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