Organization Active NPI

Advanced Dental Concepts

  • Dentist
  • Windham, ME
National Provider Identifier
1053520478
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2867 Issued in ME
Legal business name
ADVANCED DENTAL CONCEPTS
Practice address
744 Roosevelt TRL
Suite 104
Windham, ME 04062-5282
Phone
(207) 892-8325
Fax
(207) 893-2897
NPI assigned
May 22, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Stanley Donald Armstrong, D.M.D.NPI 1891719209
Title
Owner
Phone
(207) 892-8325

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
Dentist 122300000X 2867 ME Primary

Addresses

Primary practice location

744 Roosevelt TRL
Suite 104
Windham, ME 04062-5282

Mailing address

744 Roosevelt TRL
Suite 104
Windham, ME 04062-5282
Phone (207) 892-8325

Other identifiers 1

IdentifierTypeStateIssuer
1891719209OtherMEENTITY TYPE 1

National Provider Directory

National Provider Directory

Locations

744 Roosevelt Trl
Ste 104
Windham, ME 04062
Phone (207) 892-8325

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1053520478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 ROOSEVELT TRL",
            "address_2": "SUITE 104",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625282",
            "telephone_number": "207-892-8325",
            "fax_number": "207-893-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ROOSEVELT TRL",
            "address_2": "SUITE 104",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625282",
            "telephone_number": "207-892-8325",
            "fax_number": "207-893-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-892-8325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENTITY TYPE 1",
            "identifier": "1891719209",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.