NPIMap

Organization Active NPI

Gentle Family Dentistry

  • Dental Clinic/Center
  • Lewiston, ME
National Provider Identifier
1407254550
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4051 Issued in ME
Legal business name
GENTLE FAMILY DENTISTRY
Practice address
1065 Lisbon St
Lewiston, ME 04240-5749
Phone
(207) 376-4977
NPI assigned
Dec 5, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Jin Hwang, D.M.D.
Title
Owner
Phone
(207) 222-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4051 ME Primary

Addresses

Primary practice location

1065 Lisbon St
Lewiston, ME 04240-5749

Mailing address

1065 Lisbon St
Lewiston, ME 04240-5749

National Provider Directory

National Provider Directory
Tax ID family
Gentle Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1407254550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405749",
            "telephone_number": "207-376-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-222-2299",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.