R. Joseph Libby, D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2775 Issued in ME

Legal business name

R. JOSEPH LIBBY, D.M.D., P.A.

Practice address

875 Hammond St
Bangor, ME 04401-4303

Phone

(207) 947-8861

Fax

(207) 947-2643

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. R. Joseph Libby, D.M.D.

Title

President

Phone

(207) 947-8861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235186271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014303",
            "telephone_number": "207-947-8861",
            "fax_number": "207-947-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014303",
            "telephone_number": "207-947-8861",
            "fax_number": "207-947-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. JOSEPH LIBBY, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-947-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie P Quinn, PA-C
• Lizbeth C Quint, MA
• Eva S Quirion, NP
• Karen J Quirk, LCSW
• R Dan Moore DDS MD Oral and Facial Surgery
• Heather Denise Racine, FNP
• Valarie Radel, RN
• Srikanth Aswin Radhakrishnan, MD
• Elizabeth Ann Radliff, COTA/L
• Joseph B Rahill, M.D.

• General Practice Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.