Organization Active NPI

Forest Falls Dental Holding LLC

Doing business as Forest Falls Dental

  • General Practice Dentistry
  • Yarmouth, ME
National Provider Identifier
1386401826
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FOREST FALLS DENTAL HOLDING LLC
Doing business as
Forest Falls Dental
Practice address
10 Forest Falls Dr Stop 9
Yarmouth, ME 04096-4900
Phone
(207) 846-3966
NPI assigned
Mar 1, 2024
Last updated
Mar 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
David LeeNPI 1770189672
Title
Coo
Phone
(732) 207-1689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

10 Forest Falls Dr Stop 9
Yarmouth, ME 04096-4900

Mailing address

1290 Congress St
Portland, ME 04102-2113
Phone (732) 207-1689

Other names 1

  • Forest Falls Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10 Forest Falls Dr
Stop 9
Yarmouth, ME 04096
Phone (207) 846-3966

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1386401826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022113",
            "telephone_number": "732-207-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR STOP 9",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040964900",
            "telephone_number": "207-846-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FALLS DENTAL HOLDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-207-1689"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Falls Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.