Brightwork Dental Care PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRIGHTWORK DENTAL CARE PA

Practice address

130 Centre St Ste 2
Bath, ME 04530-2598

Phone

(207) 443-6255

NPI assigned

Mar 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Beaulieu, DMDNPI 1649675810

Title

Owner

Phone

(207) 443-6255

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Beaulieu, DMD

  • General Practice Dentistry
  • Bath, ME
  • NPI 1649675810
  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1265990980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST STE 2",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302598",
            "telephone_number": "207-443-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CENTRE ST STE 2",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302598",
            "telephone_number": "207-443-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTWORK DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-443-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Bird, AGPCNP
• Susan Caldwell Blanchard, LCSW
• Linda B Bonnar, MACCC-SLP
• Jody Lee Bonti, LMT
• Hallee D Breton
• Ella L Brown, LCPC-C
• Louise Edith Bryant, D.C.
• Julie Suzanne Buccarelli, PMHNP
• Melissa R Buchanan, LCPC-C
• Jeremy H Burden, D.D.S.

• General Practice Dentistry in Bath, ME
• Providers in Bath, 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 12, 2019; 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.