Michael Bufo, D.M.D. LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3334 Issued in ME

Legal business name

MICHAEL BUFO, D.M.D. LLC

Doing business as

Brighton Dental Associates

Practice address

612 Brighton Avenue, Suite 1
Portland, ME 04102

Phone

(207) 772-4359

Fax

(207) 772-4990

NPI assigned

Dec 12, 2012

Last updated

Apr 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bufo Jr., DMD

Title

Owner

Phone

(207) 772-4359

Specialties & licenses 1

Addresses

Other names 1

• Brighton Dental Associates Doing business as

Tax ID family

Brighton Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael Bufo DMD LLC

  dba Windham Dental Associates

  • General Practice Dentistry
  • Windham, ME
  • NPI 1700153483
  NPD tax ID

Locations

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1205171634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 BRIGHTON AVENUE, SUITE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-772-4359",
            "fax_number": "207-772-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BRIGHTON AVENUE, SUITE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04102",
            "telephone_number": "207-772-4359",
            "fax_number": "207-772-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BUFO, D.M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BUFO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-772-4359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya Meyer, MD
• Travis Eugene Meyer, M.D.
• Philip D Meyers, CRNA
• Taylor Jeannine Mezoian, MD
• Mfuranzima Learning Institute LLC
• Michael Hiltz & Associates LLC
• Michael L. Shuman, M.D.P.a.
• Lauren G Michalakes, MD
• Peter Chris Michalakes, MD
• Andrea Michaud, LCSW

• Dental Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.