NPIMap

Organization Active NPI

Esthetic and Reconstructive Dentistry

  • Dental Clinic/Center
  • Waterville, ME
National Provider Identifier
1578735320
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ESTHETIC AND RECONSTRUCTIVE DENTISTRY
Practice address
98 Silver St
Waterville, ME 04901-5935
Phone
(207) 873-2073
Fax
(207) 873-0697
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Peter Bernard LaliberteNPI 1588791347
Title
Dentist
Phone
(207) 873-2073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

98 Silver St
Waterville, ME 04901-5935

Mailing address

98 Silver St
Waterville, ME 04901-5935
Phone (207) 873-2073

National Provider Directory

National Provider Directory

Locations

98 Silver St
Waterville, ME 04901
Phone (207) 873-2073

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1578735320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073",
            "fax_number": "207-873-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015935",
            "telephone_number": "207-873-2073",
            "fax_number": "207-873-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC AND RECONSTRUCTIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LALIBERTE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-873-2073",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.