RJ Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RJ DENTAL PA

Practice address

15 Goldsmith LN
Old Town, ME 04468-1489

Phone

(207) 827-7179

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 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. Ryan Michael Jeffrey, DDSNPI 1982042446

Title

Dentist

Phone

(207) 907-9247

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Ryan Michael Jeffrey, DDS

  • General Practice Dentistry
  • Bangor, ME
  • NPI 1982042446
  NPD Authorized official
• Michael B Libby, DDS

  • General Practice Dentistry
  • Old Town, ME
  • NPI 1538103171
  NPD (past)

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1235896101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GOLDSMITH LN",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681489",
            "telephone_number": "207-827-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GOLDSMITH LN",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681489",
            "telephone_number": "207-827-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-907-9247",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Richie, PMHNP
• Rite Aid of Maine Inc (Rite Aid Pharmacy 03295)
• Christopher Albert Ritter, MD
• Riversedge Chiropractic Wellness Center LLC
• Riversedge Wellness
• Alton Robbins, BCABA
• Charles A Roberts, PAC
• Chandra Mae Rogers
• Jonathan Roy
• Shyla L Russell, PA-C

• Dental Clinic/Center in Old Town, ME
• Providers in Old Town, 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 Nov 26, 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.