Fortin Denture Clinic LLC

Primary specialty

DenturistTaxonomy code 122400000X

Legal business name

FORTIN DENTURE CLINIC LLC

Doing business as

Augusta Denture

Practice address

2689 N Belfast Ave
Augusta, ME 04330-0204

Phone

(207) 341-0968

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Allan Joseph Fortin, LD

Title

President

Phone

(207) 341-0968

Specialties & licenses 1

Addresses

Other names 1

• Augusta Denture Doing business as

Practitioners 1

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

• Allen J Fortin, LD

  • Denturist
  • Brewer, ME
  • NPI 1467144527
  NPD

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1053141382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 N CIRCLE DR",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373335",
            "telephone_number": "207-341-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2689 N BELFAST AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043300204",
            "telephone_number": "207-341-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIN DENTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "FORTIN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-341-0968",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Denture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Dawn Folsom, MPT
• Susan Folsom
• Jenna Mae Fongemie, DMD
• Foot and Ankle of Augusta PA
• Lauren Christine Ford, LMSW-CC
• Aaron Andrew Fortin, LMSWCC
• Crystal Fortin, RN
• Katherine Fortin
• Forza Physical Therapy, LLC
• Brittany Foster, LMSW-CC

• Denturist in Augusta, ME
• Providers in Augusta, ME by specialty
• Denturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.