Dandy Dentures, LLC

Primary specialty

DenturistTaxonomy code 122400000X

License

5512 Issued in ME

Legal business name

DANDY DENTURES, LLC

Doing business as

Central Maine Denture Associates

Practice address

3 Brigham St
Waterville, ME 04901-5114

Phone

(207) 877-9917

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By 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

Patrick D Allen, LD

Title

Owner

Phone

(207) 877-9917

Specialties & licenses 1

Addresses

Other names 1

• Central Maine Denture Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Champan Loomis, DDS

  • General Practice Dentistry
  • Waterville, ME
  • NPI 1306949490
  NPD (past)

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1205378569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIGHAM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015114",
            "telephone_number": "207-877-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIGHAM ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015114",
            "telephone_number": "207-877-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDY DENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-877-9917",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ME",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Maine Denture Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Lewis Cruz, NP
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• Charles E Danielson, M.D.
• Darcy Darling
• Daric Davenport, LCSW
• Erica Dawn Davis Rackliff, RN, IBCLC

• Denturist in Waterville, ME
• Providers in Waterville, ME by specialty
• Denturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.