Organization Active NPI

Hancock Dental, LLC

  • Dental Clinic/Center
  • Ellsworth, ME
National Provider Identifier
1063681534
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3506 Issued in ME
Legal business name
HANCOCK DENTAL, LLC
Practice address
201 High St
Ellsworth, ME 04605-1715
Phone
(207) 667-8778
Fax
(207) 667-2324
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Peter C. Cummings, D.M.D.NPI 1609838200
Title
Owner
Phone
(207) 667-8778

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
Dental Clinic/Center 261QD0000X 3506 ME Primary

Addresses

Primary practice location

201 High St
Ellsworth, ME 04605-1715

Mailing address

201 High St
Ellsworth, ME 04605-1715
Phone (207) 667-8778

National Provider Directory

National Provider Directory

Locations

201 High St
Ellsworth, ME 04605
Phone (207) 667-8778

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1063681534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051715",
            "telephone_number": "207-667-8778",
            "fax_number": "207-667-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGH ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051715",
            "telephone_number": "207-667-8778",
            "fax_number": "207-667-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-667-8778",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.