NPIMap

Organization Active NPI

Lakes Region Dental Center, LLC

  • Dental Clinic/Center
  • Oakland, ME
National Provider Identifier
1306258371
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4188 Issued in ME
Legal business name
LAKES REGION DENTAL CENTER, LLC
Practice address
6 Center St
Oakland, ME 04963-4927
Phone
(207) 624-1648
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Rebecca Jean Berry, DMDNPI 1083976302
Title
Member
Phone
(207) 624-1648

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 4188 ME Primary

Addresses

Primary practice location

6 Center St
Oakland, ME 04963-4927

Mailing address

183 Highland Ave
Gardiner, ME 04345-1888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1306258371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 HIGHLAND AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043451888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTER ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634927",
            "telephone_number": "207-624-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGION DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-624-1648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.