Genko Stanilov, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4186 Issued in ME

Practice address

160 Elm PLZ
Waterville, ME 04901-4936

Phone

(207) 873-0110

Fax

(207) 873-6379

NPI assigned

Jun 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gstanilov163346@direct.mmc.mainehealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SB Dental PLLC

  • General Practice Dentistry
  • Waterville, ME
  • NPI 1033685227
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1164716239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-464-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ELM PLZ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014936",
            "telephone_number": "207-873-0110",
            "fax_number": "207-873-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANILOV",
        "first_name": "GENKO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Source Integrative Psychiatry PLLC
• Charlene Marie Southwick, M.S., CCC-SLP
• Regina Maria Souza, RN
• Kayla Spencer, LCSW
• Judith Ann St. Hilaire, LMSW
• Michelle Lee Stankevitz, P.T.A.
• Richard J. Staples, PH.D.
• Todd Stapley, D.O.
• Lindsey Steele
• Christina M Steeves, ATC

• General Practice Dentistry in Waterville, ME
• Providers in Waterville, 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 Jun 6, 2011; 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.