Organization Active NPI

Midcoast Endodontics

  • Endodontics
  • Rockport, ME
National Provider Identifier
1013174622
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN4027 Issued in ME
Legal business name
MIDCOAST ENDODONTICS
Practice address
1060 Commercial St
Suite 2
Rockport, ME 04856-3801
Phone
(207) 593-9345
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Dwight Paddock Stanley, D.M.D.
Title
President
Phone
(207) 593-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DEN4027 ME Primary

Addresses

Primary practice location

1060 Commercial St
Suite 2
Rockport, ME 04856-3801

Mailing address

1060 Commercial St
Suite 2
Rockport, ME 04856-3801
Phone (207) 593-9345

National Provider Directory

National Provider Directory

Locations

1060 Commercial St
#2
Rockport, ME 04856
Phone (207) 593-9345

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1013174622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 COMMERCIAL ST",
            "address_2": "SUITE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-593-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 COMMERCIAL ST",
            "address_2": "SUITE 2",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-593-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOAST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "PADDOCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-593-9345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "ME",
            "license": "DEN4027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.