Mid-Maine Dental Center, P a

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3541 Issued in ME

Legal business name

MID-MAINE DENTAL CENTER, P A

Practice address

334 Augusta Rd
Winslow, ME 04901-7167

Phone

(207) 873-9600

Fax

(207) 873-5629

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Charles Klasson, DMDNPI 1518042209

Title

Dentist

Phone

(207) 873-9600

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.

• Steven Charles Klasson, D.M.D.

  • Dentist
  • Winslow, ME
  • NPI 1518042209
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1639386576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 AUGUSTA RD",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017167",
            "telephone_number": "207-873-9600",
            "fax_number": "207-873-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 AUGUSTA RD",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049017167",
            "telephone_number": "207-873-9600",
            "fax_number": "207-873-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MAINE DENTAL CENTER, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "KLASSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-873-9600",
        "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": "3541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117880000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laila's House
• Langley Vocational Services
• Elizabeth Leung
• Angela D Linnell, M.A., CCC-SLP
• Christopher May, CADC
• Salim Mohammadi, DDS
• Sally Ann Morin
• Sara Adair Mulvey, RN, PMHNPBC
• Christopher Richard Nalepa, PHARMD
• Carla Newcomb, RDH

• General Practice Dentistry in Winslow, ME
• Providers in Winslow, 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 Sep 18, 2009; 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.