Cornish Denture Center, LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

License

DTR5531 Issued in ME

Legal business name

CORNISH DENTURE CENTER, LLC

Practice address

202 Maple St Unit C
Cornish, ME 04020-3138

Phone

(207) 625-9227

NPI assigned

Nov 18, 2016

Last updated

Nov 18, 2016By 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

Linda Laurette Souliere, LDNPI 1326581703

Title

Owner/Operator

Phone

(207) 625-9227

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Linda Laurette Souliere, LD

  • Denturist
  • Cornish, ME
  • NPI 1326581703
  NPD (past) Authorized official

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1124561493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MAPLE ST UNIT C",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203138",
            "telephone_number": "207-625-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MAPLE ST UNIT C",
            "city": "CORNISH",
            "state": "ME",
            "postal_code": "040203138",
            "telephone_number": "207-625-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNISH DENTURE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "SOULIERE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LAURETTE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-625-9227",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "ME",
            "license": "DTR5531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "122400000X",
            "identifier": "DTR5531",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Center for Life Enhancement, Inc.
• Community Pharmacies LLC. (Community Pharmacy of Cornish)
• Michael Eugene Coppi, R.PH
• Cornish Family Chiropractic PA,
• Ashten Hackett Cullenberg, PT, DPT
• Emily Dee, RPH
• John A Dubois, OD
• Anita Helena Flores, MA, CCC-SLP, LCPC

• Dental Laboratory in Cornish, ME
• Providers in Cornish, ME by specialty
• Dental Laboratory in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.