Philip J. Bretz,D.M.D.,PA.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2110 Issued in ME

Legal business name

PHILIP J. BRETZ,D.M.D.,PA.

Practice address

210 Lincoln Ave.
Rumford, ME 04276-1854

Phone

(207) 364-4355

Fax

(207) 512-1700

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip John Bretz, D.M.D.NPI 1114010899

Title

President Owner

Phone

(207) 364-4355

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Philip John Bretz, D.M.D

  • General Practice Dentistry
  • Rumford, ME
  • NPI 1114010899
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518179639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LINCOLN AVE.",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761854",
            "telephone_number": "207-364-4355",
            "fax_number": "207-512-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LINCOLN AVE.",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761854",
            "telephone_number": "207-364-4355",
            "fax_number": "207-512-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. BRETZ,D.M.D.,PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRETZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT    OWNER",
        "authorized_official_telephone_number": "207-364-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carrie Ponte, NP
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• General Practice Dentistry in Rumford, ME
• Providers in Rumford, 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 Aug 22, 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.