Roskelley Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4279 Issued in ME

Legal business name

ROSKELLEY DENTAL, PC

Doing business as

Biddeford Saco Dental Associates

Practice address

323 Main St
Saco, ME 04072-1514

Phone

(207) 282-9962

Fax

(207) 283-4299

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Jacob Roskelley, DMD

Title

Owner/Dentist

Phone

(207) 282-9962

Specialties & licenses 1

Addresses

Other names 1

• Biddeford Saco Dental Associates Doing business as

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1245619097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721514",
            "telephone_number": "207-282-9962",
            "fax_number": "207-283-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721514",
            "telephone_number": "207-282-9962",
            "fax_number": "207-283-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSKELLEY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "ROSKELLEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "207-282-9962",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "4279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biddeford Saco Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Alkimeny Robinson, MS, RD
• Christine Virginia Rogerson, LCSW
• Mark H Rolerson, M.D.
• Melissa Jane Roope, MT
• Chelsea Rose, LMSW-CC
• Lindsay Collins Roskelley, DMD
• Karolyn S Rossein, LCPC
• Teresa A Roth, LCSW
• Heather Rowe, LMSW-CC
• Amber Lee Roy, FNP

• Dental Clinic/Center in Saco, ME
• Providers in Saco, 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 May 27, 2015; 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.