Casco Bay Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN4570 Issued in ME

Legal business name

CASCO BAY DENTAL

Practice address

10 Everett St
Brunswick, ME 04011-2404

Phone

(207) 729-8939

NPI assigned

Jul 13, 2017

Last updated

Jul 21, 2022By 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. Chadd J Cockrell, DMDNPI 1417394206

Title

Owner Dentist

Phone

(360) 349-2401

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Chadd Joseph Cockrell, DMD

  • Dentist
  • Brunswick, ME
  • NPI 1417394206
  NPD Authorized official
• Randolph J. Howell, D.D.S.

  • General Practice Dentistry
  • Brunswick, ME
  • NPI 1285644633
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013439843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EVERETT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112404",
            "telephone_number": "207-729-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EVERETT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112404",
            "telephone_number": "207-729-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCO BAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "CHADD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "360-349-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Paul Carnicella, PH.D.
• Suzanne Carr, MD
• Megan Taylor Carrier, CRNA
• Carroll Clinical Consulting PLLC
• Sheila Casale, RN
• Lisa M Cash, LCSW
• Deborah J Casterlin, P.T.
• Jorie W Catlin, PMHNP
• Steven Cauble, M.D.
• Nicole Ceterski, LMSW-CC

• Dental Clinic/Center in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.