Elevate Dental Extractions

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ELEVATE DENTAL EXTRACTIONS

Practice address

23 Carriage Rd Ste 2
Ellsworth, ME 04605-2412

Phone

(207) 466-0661

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By 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

Mrs. Mary Ann Roy

Title

Office Manager

Phone

(207) 466-0661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Allen J Fortin, LD

  • Denturist
  • Brewer, ME
  • NPI 1467144527
  NPD

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1457933095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CARRIAGE RD STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052412",
            "telephone_number": "207-466-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CARRIAGE RD STE 2",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046052412",
            "telephone_number": "207-466-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE DENTAL EXTRACTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-466-0661",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Durgin, OTR/L
• Eastern Maine Homecare (Hancock County Homecare)
• Eastern Maine Homecare (Hancock County Hospice)
• Chelsea J Edgar, LMT
• Jessie Daley Eklund, FNP-C
• Elias & Keteyian
• Amanda Elliott, MA, LCPC
• Lea Elliott, L.AC.
• Ellsworth Bucksport Dental Associates
• Ellsworth Chiropractic, PA

• Dental Clinic/Center in Ellsworth, ME
• Providers in Ellsworth, 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 Apr 23, 2021; 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.