Maine Dental Group, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4051 Issued in ME

Legal business name

MAINE DENTAL GROUP, P.C.

Practice address

480 Main St
Lewiston, ME 04240-6238

Phone

(207) 784-5769

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

David Lee

Title

Coo

Phone

(732) 207-1689

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dentistry of Maine Other name

Locations

Practitioners 4

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

• Helen Barbarick, DMD

  • Dentist
  • Lewiston, ME
  • NPI 1881874261
  NPD (past)
• Audrie Knox-Crouanas, DDS

  • Dentist
  • Lewiston, ME
  • NPI 1053726919
  NPD (past)
• Kristina M Lake Harriman, DMD

  • General Practice Dentistry
  • Lewiston, ME
  • NPI 1508027152
  NPD (past)
• Sang Joon Lee, DMD

  • General Practice Dentistry
  • Lewiston, ME
  • NPI 1902459969
  NPD (past)

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1194268268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BRIDGTON RD STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923754",
            "telephone_number": "732-207-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406238",
            "telephone_number": "207-784-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE DENTAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-207-1689"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry of Maine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Reginald Mailhot, OD
• Maine Cardiology Associates
• Maine Chirorpractic Health Clinic, PA
• Maine Coastline Support LLC
• Maine Community Support Services
• Maine Hearts Home Care LLC
• Maine Immigrant and Refugee Services
• Maine Immigrant and Refugee Services (Meirs)
• Maine Molecular Imaging LLC
• Maine Recovery Collective, LLC

• General Practice Dentistry in Lewiston, ME
• Providers in Lewiston, 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 Dec 2, 2024; 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.