Coastal Maine Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4026 Issued in ME

Legal business name

COASTAL MAINE PEDIATRIC DENTISTRY

Practice address

84 Baribeau Dr
Brunswick, ME 04011-3218

Phone

(207) 607-4197

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Emily B Scholl, D.M.D.NPI 1225222698

Title

Owner

Phone

(207) 607-4197

Specialties & licenses 1

Addresses

Other names 1

• Coastal Maine Pediatric Dentistry Doing business as

Locations

Practitioners 2

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

• Emily B Scholl, DMD

  • Pediatric Dentistry
  • Brunswick, ME
  • NPI 1225222698
  NPD Authorized official
• Sarah Labonte'

  • Dental Hygienist
  • Brunswick, ME
  • NPI 1669893020
  NPD (past)

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1386931376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113218",
            "telephone_number": "207-607-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113218",
            "telephone_number": "207-607-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MAINE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHOLL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-607-4197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Maine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Lynn Clark, MS, OTR/L
• Karri E Clohosey, LMSW-CC
• Coastal Anesthesiology Medical Group, PA
• Coastal Haven LLC
• Coastal Hearing Services, LLC
• Coastal Mental Health, PLLC
• Coastal Orthopedics & Sports Medicine
• Coastal Orthopedics & Sports Medicine,P.a.
• Coastal Orthopedics & Sports Medicine,P.a.
• Coastal Shores, Inc.

• All providers in Brunswick, ME
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.