Organization Active NPI

Sebasticook Dental Center

  • General Practice Dentistry
  • Newport, ME
National Provider Identifier
1215586227
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEBASTICOOK DENTAL CENTER
Practice address
71 Elm St
Newport, ME 04953-3121
Phone
(207) 368-2500
Fax
(207) 368-2501
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Dr. Dustin D Nadeau, DMDNPI 1730616640
Title
Dentist / Owner
Phone
(207) 368-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

71 Elm St
Newport, ME 04953-3121

Mailing address

71 Elm St
Newport, ME 04953-3121
Phone (207) 368-2500

National Provider Directory

National Provider Directory

Locations

71 Elm St
Newport, ME 04953
Phone (207) 368-2500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1215586227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ELM ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533121",
            "telephone_number": "207-368-2500",
            "fax_number": "207-368-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ELM ST",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049533121",
            "telephone_number": "207-368-2500",
            "fax_number": "207-368-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTICOOK DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "207-368-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.