Classic Dentures of Maine

Primary specialty

DenturistTaxonomy code 122400000X

License

5515 Issued in ME

Legal business name

CLASSIC DENTURES OF MAINE

Practice address

61 Hersey Ave
Bangor, ME 04401-4443

Phone

(207) 942-1743

NPI assigned

Jul 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph S Kingston, ED.D ; LDNPI 1700015526

Title

President

Phone

(207) 942-1743

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Joseph S Kingston, ED.D; LD

  • Denturist
  • Bangor, ME
  • NPI 1700015526
  NPD (past) Authorized official

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247270400000",
    "number": "1396974390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 HERSEY AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014443",
            "telephone_number": "207-942-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 HERSEY AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014443",
            "telephone_number": "207-942-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC DENTURES OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-942-1743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D ; LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": "ME",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434321199",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Clark-Albert, MS RD LD CDE
• Kateryna Vadimovna Clark, M.S., R.D
• Peggy D Clark, SLP
• Tracey Durkovich Clark, DO
• James Lincoln Clarke, M.D.
• Nile Clem
• David M. Clement, M.D.
• Meredith I Clements, L..P.N.
• Julie Clifford
• Cline Chiropractic Center LLC

• Denturist in Bangor, ME
• Providers in Bangor, ME by specialty
• Denturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2009; 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.