Waterboro Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WATERBORO DENTISTRY

Practice address

813B Main St
Waterboro, ME 04087-3084

Phone

(207) 247-3511

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Valerie LariviereNPI 1659939098

Title

Owner

Phone

(207) 247-3511

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Valerie Anne Lariviere, DMD

  • General Practice Dentistry
  • Waterboro, ME
  • NPI 1659939098
  NPD Authorized official
• Wayne Lariviere, DMD

  • General Practice Dentistry
  • Waterboro, ME
  • NPI 1659599413
  NPD (past)

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1164206553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040870378",
            "telephone_number": "207-247-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813B MAIN ST",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873084",
            "telephone_number": "207-247-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBORO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LARIVIERE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-247-3511"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DEN4703",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "ME2821",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Stevenson, PT
• Katreena Laxmi Subramanian, MS, CF-SLP
• Hayes A Sweeney, PT
• Andrew J. Toothaker, PT
• Town of Waterboro Maine

• General Practice Dentistry in Waterboro, ME
• Providers in Waterboro, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.