Active NPI
Mount Pleasant Dental Wellness
- General Practice Dentistry
- West Rockport, ME
National Provider Identifier
1306547849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MOUNT PLEASANT DENTAL WELLNESS
- Practice address
- 634 Rockland Street
West Rockport, ME 04865 - Phone
- (207) 230-0110
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Liane Wilson
- Title
- Business Manager
- Phone
- (207) 230-0110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
634 Rockland Street
West Rockport, ME 04865
Mailing address
PO Box B
West Rockport, ME 04865-0702
Phone (207) 230-0110
Other practice location 1
2467 Atlantic Hwy
Warren, ME 04864
Phone (207) 273-1444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134576218 | Other | DENTIST | |
| 1083717664 | Other | DENTIST | |
| 196241193 | Other | DENTIST | |
| 1922488295 | Other | DENTIST | |
| 1184852915 | Other | DENTIST |
Other names 2
- Mount Pleasant Dental Care
- North Pond Dental Care
National Provider Directory
National Provider DirectoryLocations
2467 Atlantic Hwy
Warren, ME 04864
Phone (207) 273-1444
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Rockport, ME
- NPI 1134576218
-
- Dentist
- Rockport, ME
- NPI 1184852915
-
- General Practice Dentistry
- West Rockport, ME
- NPI 1962541193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1306547849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX B",
"city": "WEST ROCKPORT",
"state": "ME",
"postal_code": "048650702",
"telephone_number": "207-230-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 ROCKLAND STREET",
"city": "WEST ROCKPORT",
"state": "ME",
"postal_code": "04865",
"telephone_number": "207-230-0110"
}
],
"practiceLocations": [
{
"address_1": "2467 Atlantic Hwy",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "ME",
"postal_code": "04864",
"country_code": "US",
"telephone_number": "207-273-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOUNT PLEASANT DENTAL WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-09",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LIANE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "207-230-0110",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1134576218",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1083717664",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "196241193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1922488295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1184852915",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Pleasant Dental Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Pond Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.