Creekside Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

3656 Issued in ME

Legal business name

CREEKSIDE DENTAL, P.C.

Practice address

507 Bristol Rd
Bristol, ME 04539-3035

Phone

(207) 563-6044

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kerry L Ransdell, DMDNPI 1386687564

Title

President

Phone

(207) 563-6044

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerry L Ransdell, D.M.D.

  • General Practice Dentistry
  • Bristol, ME
  • NPI 1386687564
  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": "1679787030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 BRISTOL RD",
            "city": "BRISTOL",
            "state": "ME",
            "postal_code": "045393035",
            "telephone_number": "207-563-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BRISTOL RD",
            "city": "BRISTOL",
            "state": "ME",
            "postal_code": "045393035",
            "telephone_number": "207-563-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANSDELL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-563-6044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Gail Congdon
• Janice Edmunds
• Katarina Kadar
• Larson Dietetics
• Philip Robert Larson, RDN
• Charles F. Meyer, O.D.

• Dentist in Bristol, ME
• Providers in Bristol, ME by specialty
• Dentist 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.