Fryeburg Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4507 Issued in ME

Legal business name

FRYEBURG DENTAL CENTER LLC

Practice address

44 Portland St
Fryeburg, ME 04037-1206

Phone

(207) 935-3133

NPI assigned

Jan 15, 2017

Organization subpart

No

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

Authorized official

Name

Michael B Harper, DMD

Title

Owner

Phone

(207) 935-3133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484438400000",
    "number": "1154867109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PORTLAND ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371206",
            "telephone_number": "207-935-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 PORTLAND ST",
            "city": "FRYEBURG",
            "state": "ME",
            "postal_code": "040371206",
            "telephone_number": "207-935-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYEBURG DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-15",
        "last_updated": "2017-01-15",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-935-3133",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr N Scott Ferguson Optometrist
• William W. Dreyer, DMD PA
• Norman Kenneth Ferguson III, OD
• Fryeburg Academy
• Fryeburg Academy
• Fryeburg Family Dental (Bernadette Kozak)
• Fryeburg Health Care Center
• Fryeburg Health Care Center, Inc.
• Fryeburg Rescue Association (Fryeburg Rescue)
• Stevi Gelinas, NH CANDIDATE

• Dentist in Fryeburg, ME
• Providers in Fryeburg, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; 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.