Robert a Patenaude DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ROBERT A PATENAUDE DDS PA

Practice address

169 Water Street
Augusta, ME 04330

Phone

(207) 623-8122

Fax

(207) 623-3907

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Robert A Patenaude Jr., DMDNPI 1669693115

Title

Dentist

Phone

(207) 623-8122

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Robert A Patenaude Jr., DMD

  • Dentist
  • Augusta, ME
  • NPI 1669693115
  NPD (past) Authorized official
• Nancy L Clifford, DMD

  • Dentist
  • Augusta, ME
  • NPI 1942421490
  NPD (past)
• Nicole Anne Hasenfus, D.D.S.

  • General Practice Dentistry
  • Augusta, ME
  • NPI 1619380144
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376764829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 WATER STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-8122",
            "fax_number": "207-623-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WATER STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-623-8122",
            "fax_number": "207-623-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A PATENAUDE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATENAUDE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-623-8122",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10482000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asbel H Rivera, CRT
• Hugo Rivera, DO
• Ovidiu Dan Rivis, M.D.
• Chelsea R L Roan, DO
• Mariah Lynn Robbins, FNP-C
• Abigail Kristina Roberts
• Lorrie A Roberts
• Reid Austin Roberts, M.D., PHD.
• Jacqueline J Robilliard, RD
• Faith Robinson

• Dentist in Augusta, ME
• Providers in Augusta, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.