Robert Lundin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2906 Issued in ME

Practice address

163 Hollis Road
Hollis, ME 04042

Phone

(207) 929-3550

Fax

(207) 929-3536

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Heritage Dentistry, PLLC

  • Dental Clinic/Center
  • Hollis Center, ME
  • NPI 1841011335
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487718052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SACO RD",
            "city": "HOLLIS CENTER",
            "state": "ME",
            "postal_code": "040423460",
            "telephone_number": "207-727-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOLLIS ROAD",
            "city": "HOLLIS",
            "state": "ME",
            "postal_code": "04042",
            "telephone_number": "207-929-3550",
            "fax_number": "207-929-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115470000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anytime Services for Seniors, Inc
• Town of Hollis

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.