Brunswick Dental Health Assoc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2583 Issued in ME

Legal business name

BRUNSWICK DENTAL HEALTH ASSOC

Practice address

27 Baribeau Dr
Brunswick, ME 04011-2929

Phone

(207) 729-6531

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Peter C Lebourdias, DMD

Title

Dentist

Phone

(207) 729-6531

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Peter C. Lebourdais, DMD

  • Dentist
  • Brunswick, ME
  • NPI 1417156092
  NPD (past)
• Lesley McLafferty

  • General Practice Dentistry
  • Brunswick, ME
  • NPI 1467348300
  NPD (past)
• Ivan Soberanes, DMD

  • Dentist
  • Brunswick, ME
  • NPI 1215385976
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447323571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112929",
            "telephone_number": "207-729-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112929",
            "telephone_number": "207-729-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK DENTAL HEALTH ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBOURDIAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-729-6531",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A. Broderick, O.D.
• Elizabeth Norrine Bailey Brooker, LCSW
• Allison Louise Brown, FNP
• Zachary Scott Brown, LCSW
• Brunswick Dental Group LLC
• Brunswick Dentistry PLLC
• Brunswick Eye Care Associates, PA
• Brunswick Foot & Ankle Center, LLC
• Brunswick Gastroenterology Associates
• Brunswick Medical Center Pharmacy at Parkview

• General Practice Dentistry in Brunswick, ME
• Providers in Brunswick, ME by specialty
• General Practice Dentistry in Maine

• 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.