Individual
DERRICK S TOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1053 WESTERN AVE, MANCHESTER, ME 04351-3403
(207) 622-6319
(207) 622-6654
Mailing address
9 PLEASANT STREET, SUITE 2, OAKLAND, ME 04963
(207) 465-2700
(207) 465-2300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
014663
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030440
ANTHEM
ME
01
—
1041053
AETNA
—
05
—
255890099
—
ME
Enumeration date
09/27/2006
Last updated
12/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us