Academy Dental PA
Organization Active NPI General Practice Dentistry · Presque Isle, ME
NPI 1316955396 · NPPES record last updated Oct 2, 2018
Key facts
- NPI
- 1316955396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ACADEMY DENTAL PA
- Practice address
- 179 Acedemy St
Presque Isle, ME 04769 - Phone
- (207) 764-3764
- Fax
- (207) 764-3367
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Sandi Bouchard, DO
- Title
- Office/Business Manager
- Phone
- (207) 764-3764
Practitioners 6
-
Norma J Desjardins, DMD
-
Garth M Duff, DMD
-
Brydan David Regehr, D.D.S.
-
Susan Dolores Sager, RDH
National Provider Directory
Locations
179 Academy St
Presque Isle, ME 04769
Phone (207) 227-1332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
179 Acedemy St
Presque Isle, ME 04769
Mailing address
179 Acedemy St
Presque Isle, ME 04769
Phone (207) 764-3764
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129220000 | Medicaid | ME |
Other providers in Presque Isle, ME
- A & L Clinical Services
- Paul Abramowicz
- Acadia Home Care
- Philip Advocate
- Danielle Elizabeth Agrella
- Georgina Aguirre
- Bradley Ala
All providers in Presque Isle, ME · General Practice Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.