Katahdin Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4096 Issued in ME

Legal business name

KATAHDIN PEDIATRIC DENTISTRY

Practice address

24 Penn PLZ
Bangor, ME 04401-3620

Phone

(207) 942-0593

Fax

(207) 947-5237

NPI assigned

Apr 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gaston To'Olo, DMD,MS

Title

Pediatric Dentist

Phone

(207) 942-0593

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1013274067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-942-0593",
            "fax_number": "207-947-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PENN PLZ",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-942-0593",
            "fax_number": "207-947-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATAHDIN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "TO'OLO",
        "authorized_official_first_name": "GASTON",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "207-942-0593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "4096",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "3063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ryan Kashey, CADC
• Nagesha Sathanur Kasinath, MD ANESTHESIOLOGIST
• Jared M. Kasper, M.D.
• Margaret Elizabeth Kasper, PA-C
• John Luther Kasten Jr., LCPC
• Katahdin Pediatric'S PA
• Katahdin Valley Health Center
• Kathryn Wight
• Kimberly S Kauffman, M.D.
• Brian E Kaufman, DO

• Pediatric Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.