Active NPI
Dr George W Manter DMD
- General Practice Dentistry
- Waterville, ME
National Provider Identifier
1205039773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2002506
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Waterville, ME
- NPI 1518269851
General Practice
-
- General Practice Dentistry
- Waterville, ME
- NPI 1467526087
General Practice
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.