Organization Active NPI

Crossway Family Dental PA

  • General Practice Dentistry
  • Norway, ME
National Provider Identifier
1043673957
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSWAY FAMILY DENTAL PA
Practice address
193 Main St
Norway, ME 04268-5645
Phone
(207) 743-2649
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Myung KimNPI 1821215039
Title
Owner
Phone
(207) 743-8701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X ME Primary

Addresses

Primary practice location

193 Main St
Norway, ME 04268-5645

Mailing address

10 Market SQ Ste 3
South Paris, ME 04281-1573
Phone (207) 743-8701

Other names 1

  • Western Maine Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossway Family Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Market Sq
Ste 3
South Paris, ME 04281
Phone (207) 743-8701

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1043673957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARKET SQ STE 3",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811573",
            "telephone_number": "207-743-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 MAIN ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685645",
            "telephone_number": "207-743-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY FAMILY DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-743-8701"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Maine Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.