Northeast Dental Partners, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4492 Issued in ME

Legal business name

NORTHEAST DENTAL PARTNERS, PA

Practice address

24 Dirigo Drive
Brewer, ME 04412

Phone

(207) 307-7405

Fax

(207) 307-7490

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Michael John Cabral, DMD

Title

Vice President

Phone

(207) 307-7405

Specialties & licenses 1

Addresses

Other names 1

• Northeast Dental Partners Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa Abbott, RDH

  • Dental Hygienist
  • Brewer, ME
  • NPI 1255264958
  NPD (past)

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1497250740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 NORFOLK ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013466",
            "telephone_number": "860-328-0716",
            "fax_number": "207-307-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 DIRIGO DRIVE",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "04412",
            "telephone_number": "207-307-7405",
            "fax_number": "207-307-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST DENTAL PARTNERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-307-7405",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeast Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine A Nealley, FNP
• New Health P a
• Nicole Cividanes DMD PLLC
• Caitlin M Niedzialkowski, CRNA
• Colleen M Nilan, M.S. CCC-SLP
• Northeast Radiation Oncology PA
• Northeast Radiation Oncology PA
• Norumbega Medical Specialists, LTD
• Susan E O'Connor, M.D.
• Maureen O'Malley, LCSW

• General Practice Dentistry in Brewer, ME
• Providers in Brewer, 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 Mar 28, 2018; 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.