NPIMap

Organization Active NPI

Kennebec Valley Dental Coalition Inc

Doing business as Community Dental Center

  • Dental Clinic/Center
  • Oakland, ME
National Provider Identifier
1497899165
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KENNEBEC VALLEY DENTAL COALITION INC
Doing business as
Community Dental Center
Waterville Community Dental Center
Practice address
2 Evergreen Dr
Oakland, ME 04963-5364
Phone
(207) 861-5801
NPI assigned
Feb 16, 2007
Last updated
Jun 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Ms. Jessica Pelotte, AS, BA
Title
Executive Director
Phone
(207) 861-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X ME Primary

Addresses

Primary practice location

2 Evergreen Dr
Oakland, ME 04963-5364

Mailing address

2 Evergreen Dr
Oakland, ME 04963-5364
Phone (207) 861-5801

Other names 2

  • COMMUNITY DENTAL CENTER Doing business as
  • Waterville Community Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2 Evergreen Dr
Oakland, ME 04963
Phone (207) 861-5801

93 Main St
Ste 3
Waterville, ME 04901

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1497899165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049635364",
            "telephone_number": "207-861-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN DR",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049635364",
            "telephone_number": "207-861-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC VALLEY DENTAL COALITION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "PELOTTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-861-5801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AS, BA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waterville Community Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.