Wil Vachon, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041062 Issued in PA

Practice address

31 Union St
Bath, ME 04530-2537

Phone

(207) 443-6234

Fax

(207) 443-6235

NPI assigned

Jan 10, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1558665281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 UNION ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302537",
            "telephone_number": "207-443-6234",
            "fax_number": "207-443-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 UNION ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302537",
            "telephone_number": "207-443-6234",
            "fax_number": "207-443-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACHON",
        "first_name": "WIL",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2511",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin V Tipton, MPA-C
• Toledo Clinic Incorporated
• Lisa Marie Torrey, LCSW
• Trailhead Therapy
• Upwell Psychiatry PLLC
• VK Bath, LLC
• Karen Wainberg, LCSW
• Walgreen Eastern Co Inc
• Zoe Janice Walker
• Gregory Wall, LCPC-C

• General Practice Dentistry in Bath, ME
• Providers in Bath, 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 15, 2021; 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.