McKenzie Dental Laboratory, Inc

Primary specialty

Dental Laboratory TechnicianTaxonomy code 126900000X

Legal business name

MCKENZIE DENTAL LABORATORY, INC

Practice address

1407 B Broadway
Bangor, ME 04401-2496

Phone

(207) 941-8998

Fax

(207) 941-0222

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Richard Martin McKenzie, CDT

Title

Owner

Phone

(207) 941-8998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1659617108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8056",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044028056",
            "telephone_number": "207-941-8998",
            "fax_number": "207-941-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 B BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012496",
            "telephone_number": "207-941-8998",
            "fax_number": "207-941-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE DENTAL LABORATORY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-941-8998",
        "authorized_official_credential": "CDT"
    },
    "taxonomies": [
        {
            "code": "126900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Laboratory Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie McKay, LADC, CCS, LSW
• Matthew S. McKay, MD
• Stephen E McKay, PHD
• Alistaire McKemy, LMSW-CC
• Jenifer L McKenney, FNP
• Jennifer Lynn McKeon, CRNP
• Patricia Marie McLain, LCPCC
• Christopher Scott McLaughlin, LCSW
• Kelly Denise McLaughlin, LCSW
• Scott A. McLaughlin, MD

• Dental Laboratory Technician in Bangor, ME
• Providers in Bangor, ME by specialty
• Dental Laboratory Technician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.