Freeport Dental Associates, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FREEPORT DENTAL ASSOCIATES, P.C.

Practice address

46 Mallett Dr
Freeport, ME 04032-1313

Phone

(207) 865-3934

Fax

(207) 865-4590

NPI assigned

Apr 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Goold Strout, D.D.S.NPI 1730307240

Title

President

Phone

(207) 729-7788

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Goold Strout, D.D.S.

  • General Practice Dentistry
  • Freeport, ME
  • NPI 1730307240
  NPD (past) Authorized official
• Brenda Krueger, RDH

  • Dental Hygienist
  • Freeport, ME
  • NPI 1538395611
  NPD (past)

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447478953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MALLETT DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321313",
            "telephone_number": "207-865-3934",
            "fax_number": "207-865-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MALLETT DR",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321313",
            "telephone_number": "207-865-3934",
            "fax_number": "207-865-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEPORT DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STROUT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GOOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-729-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Nicole Fraser
• Freeport Cardiology, LLC
• Freeport Convalescent Center Inc (Hawthorne House)
• Freeport Convalscent Center (Hawthorne House)
• Freeport Convelsant Center (Hawthorne House)
• Freeport Integrated Health Center, P.a.
• Freeport Medical Center PA
• Freeport Nursing Home, Inc
• Freeport Physical Therapy, PA
• Freeport Place

• Dental Clinic/Center in Freeport, ME
• Providers in Freeport, 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 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.