Main Street Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3714 Issued in ME

Legal business name

MAIN STREET DENTAL

Practice address

808 Main St
Westbrook, ME 04092-3423

Phone

(207) 856-6121

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Cloutier, DDS PANPI 1942244025

Title

President

Phone

(207) 856-6121

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul C Cloutier, DDS,PA

  • General Practice Dentistry
  • Westbrook, ME
  • NPI 1942244025
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649484098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923423",
            "telephone_number": "207-856-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-856-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Lillian Lynch, MS, LD, RD
• Shawn Macdonald
• Sirish Maddali, MD
• Magellan Health Services
• Amanda Elizabeth Magnoli, ANP-BC
• Maine Center for Cancer Medicine
• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Center for Cancer Medicine & Blood Disorders, P.a.
• Maine Centers for Healthcare
• Maine Centers for Healthcare PA

• General Practice Dentistry in Westbrook, ME
• Providers in Westbrook, 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 Aug 22, 2020; 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.