Frederick R Molander, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2423 Issued in ME

Legal business name

FREDERICK R MOLANDER, DMD, PA

Practice address

1250 Congress St
Portland, ME 04102-2161

Phone

(207) 775-1401

Fax

(207) 773-4990

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Frederick R Molander, DMD

Title

Owner

Phone

(207) 775-1401

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1598042640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022161",
            "telephone_number": "207-775-1401",
            "fax_number": "207-773-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022161",
            "telephone_number": "207-775-1401",
            "fax_number": "207-773-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK R MOLANDER, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MOLANDER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-775-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114030000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert J Fraser, DO
• Christina Louise Frazier, DO
• Kristin Frazier, LCSW
• Leslie Frazier, LCPC-C
• Michael Vincent Frazier, MD
• Scott E. Fredericks, M.D.
• Anne I Freedman, LCSW
• Freedomcare of Maine LLC
• Hannah Freeman Smith, ND
• Brandon H Freeman, DPT

• All providers in Portland, ME
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.