Jenna Mae Fongemie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4978 Issued in ME

Practice address

94 Western Ave Ste 1
Augusta, ME 04330-7269

Phone

(207) 622-1488

NPI assigned

Jun 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Augusta Dental, PC

  • Dental Clinic/Center
  • Augusta, ME
  • NPI 1750938759
  NPD
• Steven R. Zembroski DMD Inc

  • Dentist
  • Augusta, ME
  • NPI 1407060007
  NPD (past)

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

{
    "created_epoch": "1655596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1235860545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WESTERN AVE STE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307269",
            "telephone_number": "207-622-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WESTERN AVE STE 1",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307269",
            "telephone_number": "207-622-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGEMIE",
        "first_name": "JENNA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-19",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth A Flynn, PA
• Keri Renee Foard, M.A.
• Susan Renee Folk, NP
• Sarah Dawn Folsom, MPT
• Susan Folsom
• Foot and Ankle of Augusta PA
• Lauren Christine Ford, LMSW-CC
• Fortin Denture Clinic LLC
• Aaron Andrew Fortin, LMSWCC
• Crystal Fortin, RN

• General Practice Dentistry in Augusta, ME
• Providers in Augusta, 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 Jun 19, 2022; 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.