York Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4523 Issued in ME

Legal business name

YORK DENTAL GROUP LLC

Practice address

435 York St
York Harbor, ME 03911

Phone

(207) 363-2166

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By 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

Richard T Miller, DMD

Title

Ceo

Phone

(781) 562-0457

Specialties & licenses 1

Addresses

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.

• Douglas J. Gray, DDS

  • General Practice Dentistry
  • York Harbor, ME
  • NPI 1649288796
  NPD (past)
• Donald Paul Hudson, DMD

  • General Practice Dentistry
  • York Harbor, ME
  • NPI 1811046873
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1265973135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST UNIT 201",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212040",
            "telephone_number": "781-562-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 YORK ST",
            "city": "YORK HARBOR",
            "state": "ME",
            "postal_code": "03911",
            "telephone_number": "207-363-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-562-0457",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas J. Gray, DDS
• Donald Paul Hudson, DMD
• Peter John Wilson DMD PLLC
• St. Georges Childcare Center

• General Practice Dentistry in York Harbor, ME
• Providers in York Harbor, 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 Mar 13, 2017; 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.