Mathilde Ac Reznik, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE4338 Issued in ME

Practice address

333 Main St
Bar Harbor, ME 04609-1640

Phone

(207) 669-4565

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1043580905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091640",
            "telephone_number": "207-669-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046091640",
            "telephone_number": "207-669-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZNIK",
        "first_name": "MATHILDE",
        "middle_name": "AC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9660",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DE4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Price, CRNA
• Jennifer Elizabeth Racicot, LMT
• Nicole RG Randall, LCSW CADC
• Caitlin C Ratten
• Kathryn Ray, RN
• Oleg I Reznik, MD
• Rite Aid of Maine Inc
• Kelly Lynne Robertson, M.S., OTR/L
• Linda J Robinson, CNM
• Blake Joseph Rosso, DC

• General Practice Dentistry in Bar Harbor, ME
• Providers in Bar Harbor, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.