Brunswick Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRUNSWICK DENTAL GROUP LLC

Practice address

16 Center St
Brunswick, ME 04011-1504

Phone

(207) 729-3571

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Susan Giaiamo

Title

District Manager

Phone

(617) 291-2773

Specialties & licenses 1

Addresses

Other names 1

• middle Bay Dental Associates Doing business as

Locations

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1659872166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILITIA DR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214704",
            "telephone_number": "617-291-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTER ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111504",
            "telephone_number": "207-729-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "GIAIAMO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "617-291-2773"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "middle Bay Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel B Broaddus, MD
• Michelle A. Broderick, O.D.
• Elizabeth Norrine Bailey Brooker, LCSW
• Allison Louise Brown, FNP
• Zachary Scott Brown, LCSW
• Brunswick Dental Health Assoc
• Brunswick Dentistry PLLC
• Brunswick Eye Care Associates, PA
• Brunswick Foot & Ankle Center, LLC
• Brunswick Gastroenterology Associates

• Dental Clinic/Center in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.