NPIMap

Organization Active NPI

Renewal Dental PC

  • Dentist
  • Falmouth, ME
National Provider Identifier
1609119965
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3663 Issued in ME
Legal business name
RENEWAL DENTAL PC
Doing business as
Peak Dental Health
Practice address
74 Gray Rd
Unit 3
Falmouth, ME 04105-2062
Phone
(207) 878-8844
Fax
(207) 878-8847
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Dr. Stefan Andren, DDSNPI 1063552982
Title
Owner
Phone
(207) 878-8844

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3663 ME Primary

Addresses

Primary practice location

74 Gray Rd
Unit 3
Falmouth, ME 04105-2062

Mailing address

74 Gray Rd
Unit 3
Falmouth, ME 04105-2062
Phone (207) 878-8844

Other names 1

  • Peak Dental Health Doing business as

National Provider Directory

National Provider Directory

Locations

74 Gray Rd
Ste 3
Falmouth, ME 04105
Phone (207) 878-8844

Practitioners & affiliated clinicians

Practitioners 2

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": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1609119965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GRAY RD",
            "address_2": "UNIT 3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052062",
            "telephone_number": "207-878-8844",
            "fax_number": "207-878-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 GRAY RD",
            "address_2": "UNIT 3",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052062",
            "telephone_number": "207-878-8844",
            "fax_number": "207-878-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "ANDREN",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-878-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.