Milad Bozorgnia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3556 Issued in ME

Practice address

1460 Main Street
East Wilton, ME 04234-0389

Phone

(207) 778-3307

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Milad Bozorgnia, DMD, P.a.

  • General Practice Dentistry
  • East Wilton, ME
  • NPI 1437275427
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386769297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 DAVENPORT HILL RD",
            "city": "JAY",
            "state": "ME",
            "postal_code": "042394109",
            "telephone_number": "207-645-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MAIN STREET",
            "city": "EAST WILTON",
            "state": "ME",
            "postal_code": "042340389",
            "telephone_number": "207-778-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZORGNIA",
        "first_name": "MILAD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benton Dental P.C
• Dr. Thomas J Pastor DDS PA (Wilson Stream Family Dentistry)
• Milad Bozorgnia, DMD, P.a.
• Thomas James Pastor Jr., D.D.S.
• Richard Stephen Sewall, D.D.S.
• Western Maine Community Action

• General Practice Dentistry in East Wilton, ME
• Providers in East Wilton, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.