Organization Active NPI

Milad Bozorgnia, DMD, P.a.

  • General Practice Dentistry
  • East Wilton, ME
National Provider Identifier
1437275427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3556 Issued in ME
Legal business name
MILAD BOZORGNIA, DMD, P.A.
Practice address
1460 Main Street
East Wilton, ME 04234-0389
Phone
(207) 778-3307
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Milad Bozorgnia, DMDNPI 1386769297
Title
President
Phone
(207) 778-3307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3556 ME Primary

Addresses

Primary practice location

1460 Main Street
East Wilton, ME 04234-0389

Mailing address

PO Box 389
East Wilton, ME 04234-0389
Phone (207) 778-3307

National Provider Directory

National Provider Directory

Locations

1460 Main St
Wilton, ME 04294
Phone (207) 778-3307

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437275427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "EAST WILTON",
            "state": "ME",
            "postal_code": "042340389",
            "telephone_number": "207-778-3307"
        },
        {
            "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": {
        "organization_name": "MILAD BOZORGNIA, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOZORGNIA",
        "authorized_official_first_name": "MILAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-778-3307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wilton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.