NPIMap

Organization Active NPI

Buxton Dental PC

Doing business as Maine Family Dental Practice

  • General Practice Dentistry
  • Bangor, ME
National Provider Identifier
1619398856
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4146 Issued in ME
Legal business name
BUXTON DENTAL PC
Doing business as
Maine Family Dental Practice
Practice address
792 Stillwater Ave
Bangor, ME 04401
Phone
(207) 947-1166
Fax
(207) 947-6123
NPI assigned
Dec 13, 2013
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Dr. Travis R Buxton, DDSNPI 1922328194
Title
Owner/Dentist
Phone
(207) 947-1166

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
General Practice Dentistry 1223G0001X DEN4146 ME Primary

Addresses

Primary practice location

792 Stillwater Ave
Bangor, ME 04401

Mailing address

792 Stillwater Ave
Bangor, ME 04401-3617
Phone (207) 947-1166

Other practice location 1

277 State St
Suite 2B
Bangor, ME 04401-5439
Phone (207) 947-1166

Other names 1

  • Maine Family Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

277 State St
Ste 2B
Bangor, ME 04401
Phone (207) 947-1166

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1619398856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013617",
            "telephone_number": "207-947-1166",
            "fax_number": "207-947-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-1166",
            "fax_number": "207-947-6123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 State St",
            "address_2": "Suite 2B",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044015439",
            "country_code": "US",
            "telephone_number": "207-947-1166",
            "fax_number": "207-947-6123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUXTON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "207-947-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maine Family Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.