Organization Active NPI

Mount Pleasant Dental Wellness

  • General Practice Dentistry
  • West Rockport, ME
National Provider Identifier
1306547849
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Mar 13, 2023

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1134576218OtherDENTIST
1083717664OtherDENTIST
196241193OtherDENTIST
1922488295OtherDENTIST
1184852915OtherDENTIST

Other names 2

  • Mount Pleasant Dental Care Doing business as
  • North Pond Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.