Individual provider Active NPI

Joseph Reginald Dumont, DDS

  • General Practice Dentistry
  • Waterville, ME
National Provider Identifier
1215467436
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4580 Issued in ME
Practice address
98 Silver St
Waterville, ME 04901-5935
Phone
(207) 873-2073
Fax
(207) 873-2073
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN4580 ME Primary

Addresses

Primary practice location

98 Silver St
Waterville, ME 04901-5935

Mailing address

98 Silver St
Waterville, ME 04901-5935
Phone (207) 873-2073

Other practice location 1

28 Old Western Ave
Winthrop, ME 04364-4060
Phone (207) 377-6958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN4580MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic & General Dentistry of Winthrop Current Accepting new patients
Esthetic and Reconstructive Dentistry Current Accepting new patients
Cosmetic & General Dentistry of Winthrop General Practice Current Accepting new patients

Locations

98 Silver St
Waterville, ME 04901
Phone (207) 873-2073

28 Old Western Ave
Winthrop, ME 04364
Phone (207) 377-6958

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215467436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073",
            "fax_number": "207-873-2073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Old Western Ave",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "ME",
            "postal_code": "043644060",
            "country_code": "US",
            "telephone_number": "207-377-6958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMONT",
        "first_name": "JOSEPH",
        "middle_name": "REGINALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4580",
            "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 Mar 17, 2018; 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.