Anna V. O'Keefe, DMD, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4189 Issued in ME

Legal business name

ANNA V. O'KEEFE, DMD, P.A.

Practice address

325D Kennedy Memorial Dr
Waterville, ME 04901-4530

Phone

(207) 872-8911

Fax

(207) 872-6967

NPI assigned

Jan 11, 2017

Organization subpart

No

Name

Brendan O'Keefe

Title

Manager

Phone

(207) 872-8911

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2017.

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1447796644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-872-8911",
            "fax_number": "207-872-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325D KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014530",
            "telephone_number": "207-872-8911",
            "fax_number": "207-872-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA V. O'KEEFE, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-872-8911"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Waterville, ME
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.