Aroostook Family Dental Health, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AROOSTOOK FAMILY DENTAL HEALTH, P.A.

Practice address

184 Academy St
Presque Isle, ME 04769-3196

Phone

(207) 764-0684

Fax

(207) 764-1485

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allen I Jacobs, D.M.D.NPI 1760425805

Title

Owner Operator

Phone

(207) 764-0684

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allen Irvin Jacobs, D.M.D.

  • Dentist
  • Presque Isle, ME
  • NPI 1760425805
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003939240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693196",
            "telephone_number": "207-764-0684",
            "fax_number": "207-764-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693196",
            "telephone_number": "207-764-0684",
            "fax_number": "207-764-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AROOSTOOK FAMILY DENTAL HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "207-764-0684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aroostook County Action Program (Health Services)
• Aroostook County Action Program (HEALTH 1st)
• Aroostook County Action Program Inc
• Aroostook County Action Program, Inc.
• Aroostook Dental Clinic, Inc. (St. Apollonia Dental Clinic)
• Aroostook Mental Health Services, Inc. (Amhc)
• Aroostook MRI, LLC
• Aroostook Orthotics and Prosthetics
• Aroostook Urology Inc
• Arosotook Area Agency on Aging

• General Practice Dentistry in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.