Organization Active NPI

Lincoln County Dental, Inc.

  • Dental Clinic/Center
  • Damariscotta, ME
National Provider Identifier
1134518178
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2187 Issued in ME
Legal business name
LINCOLN COUNTY DENTAL, INC.
Practice address
748 Main St
Damariscotta, ME 04543-4683
Phone
(207) 563-8668
Fax
(866) 336-7756
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Dr. James G. Olson, D.D.S.
Title
Board Chair/Head Volunteer
Phone
(207) 563-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2187 ME Primary

Addresses

Primary practice location

748 Main St
Damariscotta, ME 04543-4683

Mailing address

748 Main St
Damariscotta, ME 04543-4683
Phone (207) 563-8668

National Provider Directory

National Provider Directory

Locations

748 Main St
Damariscotta, ME 04543
Phone (207) 563-3368

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1134518178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434683",
            "telephone_number": "207-563-8668",
            "fax_number": "866-336-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434683",
            "telephone_number": "207-563-8668",
            "fax_number": "866-336-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "BOARD CHAIR/HEAD VOLUNTEER",
        "authorized_official_telephone_number": "207-563-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.