Everest PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

EVEREST PC

Practice address

700 Mount Hope Ave Ste 410
Bangor, ME 04401-5679

Phone

(207) 852-9597

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eron Charles Aldridge, DMDNPI 1790911121

Title

Oral Surgeon

Phone

(207) 852-9597

Specialties & licenses 1

Addresses

Other names 1

• Downeast Oral Surgery Doing business as

Locations

Practitioners 1

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

• Eron Charles Aldridge, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bangor, ME
  • NPI 1790911121
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1104587708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 410",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015679",
            "telephone_number": "207-852-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE STE 410",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015679",
            "telephone_number": "207-852-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "ERON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "207-852-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downeast Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Bangor, ME
• Providers in Bangor, ME by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.