Active NPI
Mary C Repole, R.D.H.
- Dental Hygienist
- Princeton, ME
National Provider Identifier
1043382658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2914
- Practice address
- 401 Peter Dana Point Rd.
Princeton, ME 04668 - Phone
- (207) 796-2321
- Fax
- (207) 796-2422
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2914 | ME | Primary |
Addresses
Primary practice location
401 Peter Dana Point Rd.
Princeton, ME 04668
Mailing address
30 Deep Cove Rd.
Eastport, ME 04631
Phone (207) 853-2661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2914 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter J Repole, DMD, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Eastport, ME
- NPI 1942646880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043382658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DEEP COVE RD.",
"city": "EASTPORT",
"state": "ME",
"postal_code": "04631",
"telephone_number": "207-853-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 PETER DANA POINT RD.",
"city": "PRINCETON",
"state": "ME",
"postal_code": "04668",
"telephone_number": "207-796-2321",
"fax_number": "207-796-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPOLE",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "R.D.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "2914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.