Organization Active NPI

Skowhegan Family Dentistry, LLC

  • Dentist
  • Skowhegan, ME
National Provider Identifier
1386332930
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SKOWHEGAN FAMILY DENTISTRY, LLC
Practice address
28 S Factory St
Skowhegan, ME 04976-1425
Phone
(207) 474-9326
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Luke KlinkerNPI 1871182972
Title
Owner
Phone
(207) 474-9326

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

28 S Factory St
Skowhegan, ME 04976-1425

Mailing address

28 S Factory St
Skowhegan, ME 04976-1425
Phone (207) 474-9326

Other names 1

  • Augusta Childrens Dentistry Associates LLC Former legal business name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1386332930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S FACTORY ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761425",
            "telephone_number": "207-474-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S FACTORY ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761425",
            "telephone_number": "207-474-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOWHEGAN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "KLINKER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-474-9326"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augusta Childrens Dentistry Associates LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Skowhegan, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.