Forest Falls Dental, PA

Primary specialty

DentistTaxonomy code 122300000X

License

4101 Issued in ME

Legal business name

FOREST FALLS DENTAL, PA

Practice address

10 Forest Falls Dr
Unit 9a
Yarmouth, ME 04096-6936

Phone

(207) 846-3966

NPI assigned

Apr 15, 2014

Last updated

Apr 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene Kim, DDS

Title

Owner

Phone

(207) 846-3966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1629497912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR",
            "address_2": "UNIT 9A",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOREST FALLS DR",
            "address_2": "UNIT 9A",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966936",
            "telephone_number": "207-846-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FALLS DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-846-3966",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Psychiatry of Maine PA LLC
• Erin Feller, MD
• Mark Edward Fischer, D.M.D.
• Brooke Flaherty Fleurent
• Forest Falls Dental Holding LLC (Forest Falls Dental)
• Jill Frame, LCSW
• Julie Franklin
• Charlene Mancini Frick, LCPC
• Jessica Shinn Fromuth, M.AC., L.AC.
• Dane Frost, LCPC

• Dentist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.