Kyra Chadbourne, DDS
Individual provider Active NPI Dentist · Falmouth, ME
NPI 1477786705 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1477786705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0000 (ME)
- Practice address
- 78 Leighton Rd
Falmouth, ME 04105-2225 - Phone
- (207) 878-8600
- Fax
- (207) 221-1955
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Sleep Dentistry, LLC | Current |
Accepting new patients | |
| Falmouth Dentistry | Dentist | Past | Accepting new patients |
Locations
78 Leighton Rd
Falmouth, ME 04105
Phone (207) 878-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0000 | ME | Yes |
Addresses
Primary practice location
78 Leighton Rd
Falmouth, ME 04105-2225
Mailing address
78 Leighton Rd
Falmouth, ME 04105-2225
Phone (207) 878-8600
Other providers in Falmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.