Organization Active NPI

Dunstan Dental Center, LLC

  • General Practice Dentistry
  • Scarborough, ME
National Provider Identifier
1447433560
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2897 Issued in ME
Legal business name
DUNSTAN DENTAL CENTER, LLC
Practice address
618 US Route 1
Suite 4
Scarborough, ME 04074-9618
Phone
(207) 883-3229
Fax
(207) 883-1184
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Joseph Guy Penna, D.M.D.NPI 1326132234
Title
President/Owner
Phone
(207) 883-3229

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 2897 ME Primary

Addresses

Primary practice location

618 US Route 1
Suite 4
Scarborough, ME 04074-9618

Mailing address

618 US Route 1
Suite 4
Scarborough, ME 04074-9618
Phone (207) 883-3229

National Provider Directory

National Provider Directory

Locations

618 US Route 1
Ste 4
Scarborough, ME 04074
Phone (207) 883-3229

Practitioners & affiliated clinicians

Practitioners 6

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1447433560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749618",
            "telephone_number": "207-883-3229",
            "fax_number": "207-883-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 US ROUTE 1",
            "address_2": "SUITE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749618",
            "telephone_number": "207-883-3229",
            "fax_number": "207-883-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNSTAN DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "PENNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-883-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.