Dr. Panesar

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3510 Issued in ME

Legal business name

DR. PANESAR

Doing business as

Dental

Practice address

207 Main St
Fort Fairfield, ME 04742-1120

Phone

(207) 473-7723

NPI assigned

May 10, 2007

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Palwinder Kaur Panesar, DDS

Title

Doctor

Phone

(207) 473-7723

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1073727848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421120",
            "telephone_number": "207-473-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "FORT FAIRFIELD",
            "state": "ME",
            "postal_code": "047421120",
            "telephone_number": "207-473-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PANESAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "PANESAR",
        "authorized_official_first_name": "PALWINDER",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "207-473-7723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "3510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1710921945",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "133590000",
            "identifier": "MAINECARE",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marian Bouchard, LCSW
• Christine P Carr, LCSW
• Heather Mae Cassidy, RPH
• Lori Ann Deschaine, LCSW
• Brandon C Doughty
• Ryan Duff, PHARMD
• Kristi Fecteau, NP
• Abigail Rae Forsman, RN
• Fort Fairfield Drug LLC
• Fort Fairfield Drug LLC

• Dental Clinic/Center in Fort Fairfield, ME
• Providers in Fort Fairfield, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.