Penbay Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PENBAY DENTAL LLC

Practice address

819 Commercial St
Rockport, ME 04856-4243

Phone

(207) 292-4027

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Sarah Bouchard, DDSNPI 1982925160

Title

Owner/Dentist

Phone

(207) 292-4027

Specialties & licenses 1

Addresses

Practitioners 2

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

• Sarah Bouchard, D.D.S

  • General Practice Dentistry
  • Washington, DC
  • NPI 1982925160
  NPD Authorized official
• Corey Riemersma

  • General Practice Dentistry
  • Rockport, ME
  • NPI 1689396129
  NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1417538240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564243",
            "telephone_number": "207-292-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564243",
            "telephone_number": "207-292-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENBAY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "BOUCHARD",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "207-292-4027",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amia Pelletier, MS, LAT, ATC
• Stephanie B. Pemberton, PMHNP-BC
• Pen Bay General Surgery LLC
• Pen Bay Womens Imaging Specialists
• Penbay Anesthesia, LLC
• Penbay Neurology, P.a.
• Penbay Pathology
• Penbay X-Ray Associates, PA
• Penobcot Bay Medical Center
• Penobscot Bay Chiropractic, LLC

• Dental Clinic/Center in Rockport, ME
• Providers in Rockport, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.