Benjamin William Manter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4627 Issued in ME

Practice address

57 Silver St Apt 4
Waterville, ME 04901-6515

Phone

(207) 680-0424

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1477030815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SILVER ST APT 4",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016515",
            "telephone_number": "207-680-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SILVER ST APT 4",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016515",
            "telephone_number": "207-680-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTER",
        "first_name": "BENJAMIN",
        "middle_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainegeneral Health Associates Dba Oncology Associates
• Mainegeneral Medical Center
• Ruth A Malcolm, CADC
• Kiran A Mangalam, DO
• Abigail Bryson Manter, D.M.D.
• George William Manter, DMD
• Sharon L. Marble, M.D.
• Mallori Margaret Marcotte, FNP-C
• John L Margolis, MD
• Corrie Anne Marinaro, N.D.

• General Practice Dentistry in Waterville, ME
• Providers in Waterville, 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 Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.