Organization Active NPI

Dr George W Manter DMD

  • General Practice Dentistry
  • Waterville, ME
National Provider Identifier
1205039773
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2002506 Issued in ME
Legal business name
DR GEORGE W MANTER DMD
Practice address
57 Silver St
Waterville, ME 04901
Phone
(207) 873-5511
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Mrs. Jessica Lynn Libby
Title
Secretary
Phone
(207) 873-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2002506 ME Primary

Addresses

Primary practice location

57 Silver St
Waterville, ME 04901

Mailing address

57 Silver St
Waterville, ME 04901
Phone (207) 873-5511

National Provider Directory

National Provider Directory

Locations

57 Silver St
Waterville, ME 04901
Phone (207) 873-5511

Practitioners & affiliated clinicians

Practitioners 2

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1205039773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-873-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-873-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GEORGE W MANTER DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "207-873-5511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2002506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.