Twin Pines Extraction and Denture Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TWIN PINES EXTRACTION AND DENTURE CENTER

Practice address

12 Stillwater Ave Ste 6
Bangor, ME 04401-3984

Phone

(207) 992-2060

Fax

(207) 262-0424

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By 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. Joseph R Livingston, DDSNPI 1184154486

Title

Owner

Phone

(207) 659-8620

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joseph Livingston, DDS

  • Dentist
  • Bangor, ME
  • NPI 1184154486
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1215505680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044730045",
            "telephone_number": "207-659-8620",
            "fax_number": "207-262-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE STE 6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-992-2060",
            "fax_number": "207-262-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PINES EXTRACTION AND DENTURE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-659-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184154486",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly A Turner, FNPC
• Shelly A Turner, RPH
• Kendra Tuthill, PA-C
• Alessandra Grace Tuttle
• Twin City Dental
• Karen A Tyler, LCSW
• Larry Allen Tyler
• M Alegra Tyler, PA-C
• Susan Tyler, MD, MSC, FRCPC
• Leonidas Tzogias, M.D

• Dental Clinic/Center in Bangor, ME
• Providers in Bangor, 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 Jun 14, 2021; 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.