Rand Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAND DENTISTRY, LLC

Practice address

373 Wilson St
Brewer, ME 04412-1560

Phone

(207) 989-0819

Fax

(207) 989-3180

NPI assigned

May 16, 2007

Last updated

May 11, 2017By 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

Craig B. RandNPI 1477661312

Title

Dentist

Phone

(207) 989-0819

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Craig B. Rand, D.M.D.

  • General Practice Dentistry
  • Brewer, ME
  • NPI 1477661312
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1639386279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 S MAIN ST STE 200",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122111",
            "telephone_number": "207-989-0819",
            "fax_number": "207-989-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 WILSON ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121560",
            "telephone_number": "207-989-0819",
            "fax_number": "207-989-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAND DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-989-0819"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200530000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigitte Pratt, PTA
• Jane Ellen Puhlman, CCC-SLP
• Matthew W Pulley, DC
• Benjamin Philip Pushard, ATC
• Jordann Rancourt
• Craig B. Rand, D.M.D.
• Kristopher Ravin, PHARMD
• Arthur Reardon
• Rehab Without Walls, Inc.
• Renova Health LLC

• General Practice Dentistry in Brewer, ME
• Providers in Brewer, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.