Benjaman Ray Desmond, DENTAL HYGIENIST

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

171 Congress Ave
Bath, ME 04530-1531

Phone

(207) 443-9721

Fax

(207) 443-9722

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1568696540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 CONGRESS AVE",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301531",
            "telephone_number": "207-443-9721",
            "fax_number": "207-443-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CONGRESS AVE",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301531",
            "telephone_number": "207-443-9721",
            "fax_number": "207-443-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "BENJAMAN",
        "middle_name": "RAY",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH3603",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS State Capital LLC
• David S Hill, MD
• Clara Yajahira Davis, IDC
• Meredith Leigh Davis, DMD
• Carl S Demars, MD
• Gillian Denise Desmond, DENTAL HYGIENIST
• Kristin Ann Desrochers, OTR/L
• Karen Jo Dilley, LCSW
• Debora B Dixon, PHD
• Robert H Dixon, MD

• Dental Hygienist in Bath, ME
• Providers in Bath, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.