NPIMap

Organization Active NPI

Brunswick Dentistry PLLC

  • Dental Clinic/Center
  • Brunswick, ME
National Provider Identifier
1275301426
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRUNSWICK DENTISTRY PLLC
Practice address
80 Pleasant St
Brunswick, ME 04011-2203
Phone
(207) 344-1999
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Jacob F. Kieffer, DDSNPI 1013430453
Title
Owner/Dentist
Phone
(207) 907-6979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

80 Pleasant St
Brunswick, ME 04011-2203

Mailing address

17 Stone Post LN
North Yarmouth, ME 04097-6351
Phone (207) 907-6979

Other names 1

  • Brunswick Dental Studio Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1275301426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STONE POST LN",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976351",
            "telephone_number": "207-907-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PLEASANT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112203",
            "telephone_number": "207-344-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "207-907-6979",
        "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": [
        {
            "organization_name": "Brunswick Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.