Pediatric Dentistry Asleep of Maine

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY ASLEEP OF MAINE

Practice address

55 Spring St
Scarborough, ME 04074-8926

Phone

(857) 200-3312

NPI assigned

Feb 17, 2025

Organization subpart

Yes

Parent organization

PEDIATRIC DENTISTRY ASLEEP GROUPAs reported in NPPES

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

Authorized official

Name

Dr. Johnny Wana Joseph, DMD

Title

Pediatric Dentist / Owner

Phone

(857) 200-3312

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1487459210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS RUN RD STE 215A",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151223009",
            "telephone_number": "857-200-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING ST",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926",
            "telephone_number": "857-200-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Track View Ter",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747419",
            "country_code": "US",
            "telephone_number": "857-200-3312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY ASLEEP OF MAINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DENTISTRY ASLEEP GROUP",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "WANA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST / OWNER",
        "authorized_official_telephone_number": "857-200-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways of Maine, Inc.
• Nicole Ann Patterson, FNP-BC
• Eric Payeur, PHARMD
• Samantha Pease, MS, NTP, RWP
• Pediatric Cardiology Assoc PA
• Michelle Pelchat, DPT
• Diane Naomi Pelletier, LCSW
• Sarah Drosdik Pelletier, NP
• Joseph Guy Penna, DMD
• Nichol Irene Penna, D.M.D.

• Pediatric Dentistry in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.