Immaculate Amara Ugwumba

Individual provider Active NPI General Practice Dentistry · Bucksport, ME

NPI 1003732744 · NPPES record last updated Jun 26, 2026

Key facts

NPI
1003732744
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN5396 (ME)
Practice address
110 Broadway
Bucksport, ME 04416-4612
Phone
(207) 469-7371
NPI assigned
Jun 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN5396 ME Yes

Addresses

Primary practice location

110 Broadway
Bucksport, ME 04416-4612

Mailing address

18 Bower St
Bangor, ME 04401-4722

Other providers in Bucksport, ME

All providers in Bucksport, ME · General Practice Dentistry in Maine

Sources for this page

Verify at the official NPI Registry.