Organization Active NPI

Foreside Dental Health Care, PA

  • General Practice Dentistry
  • Falmouth, ME
National Provider Identifier
1013036615
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FORESIDE DENTAL HEALTH CARE, PA
Practice address
3 Fundy Rd
Falmouth, ME 04105-1796
Phone
(207) 781-2054
Fax
(207) 781-7133
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan J Avtges, D.M.D.
Title
Owner
Phone
(207) 781-2054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X ME Primary

Addresses

Primary practice location

3 Fundy Rd
Falmouth, ME 04105-1796

Mailing address

3 Fundy Rd
Falmouth, ME 04105-1796
Phone (207) 781-2054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013036615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051796",
            "telephone_number": "207-781-2054",
            "fax_number": "207-781-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051796",
            "telephone_number": "207-781-2054",
            "fax_number": "207-781-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESIDE DENTAL HEALTH CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVTGES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-781-2054",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • 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.