Active NPI
Dahl Chase Pathology Associates, PA
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
National Provider Identifier
1669870705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- DAHL CHASE PATHOLOGY ASSOCIATES, PA
- Practice address
- 417 State St Ste 439
Bangor, ME 04401-6635 - Phone
- (207) 941-8200
- Fax
- (207) 990-4846
- NPI assigned
- Dec 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott D Dufresne, MD
- Title
- Pathologist
- Phone
- (207) 941-8200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
417 State St Ste 439
Bangor, ME 04401-6635
Mailing address
417 State St Ste 439
Bangor, ME 04401-6635
Phone (207) 941-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105060000 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- Dahl Chase Pathology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
- NPI 1992726913
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
- NPI 1801201967
-
- Anatomic Pathology & Clinical Pathology Physician
- Bangor, ME
- NPI 1700258894
Specialist
-
- Hematology (Pathology) Physician
- Bangor, ME
- NPI 1639396690
-
- Specialist
- Bangor, ME
- NPI 1396701322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1669870705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 STATE ST STE 439",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016635",
"telephone_number": "207-941-8200",
"fax_number": "207-990-4846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 STATE ST STE 439",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016635",
"telephone_number": "207-941-8200",
"fax_number": "207-990-4846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAHL CHASE PATHOLOGY ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "DUFRESNE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PATHOLOGIST",
"authorized_official_telephone_number": "207-941-8200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105060000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.