Adult & Pediatric Orthodontics, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3690 Issued in ME

Legal business name

ADULT & PEDIATRIC ORTHODONTICS, PA

Practice address

10 Forest Falls Dr Stop 5
Yarmouth, ME 04096-6936

Phone

(207) 846-3636

Fax

(207) 846-0948

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jing Joanna Yu, D.M.DNPI 1104927904

Title

President

Phone

(207) 846-3636

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jing Joanna Yu, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yarmouth, ME
  • NPI 1104927904
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124233887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR STOP 5",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-3636",
            "fax_number": "207-846-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR STOP 5",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-3636",
            "fax_number": "207-846-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC ORTHODONTICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JING",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-846-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Diehl Abernathy, M.D.
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• Colleen Ahern, DMD
• Align With Wellness, LLC
• Alina Silver LCSW
• Anna Nathalie Althaus, PA-C
• Nathaniel Anderson

• Orthodontics and Dentofacial Orthopedics Dentistry in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.