Organization Active NPI

Old Orchard Beach Family Dentistry

  • General Practice Dentistry
  • Old Orchard Beach, ME
National Provider Identifier
1679869846
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4174 Issued in ME
Legal business name
OLD ORCHARD BEACH FAMILY DENTISTRY
Practice address
155 Saco Ave
Suite 1
Old Orchard Beach, ME 04064-1600
Phone
(207) 934-4132
Fax
(207) 934-9757
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Authorized official

Name
Dr. Marina Narowetz, D.D.S.NPI 1881827228
Title
Member
Phone
(207) 934-4132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN4174 ME Primary

Addresses

Primary practice location

155 Saco Ave
Suite 1
Old Orchard Beach, ME 04064-1600

Mailing address

155 Saco Ave
Suite 1
Old Orchard Beach, ME 04064-1600
Phone (207) 934-4132

National Provider Directory

National Provider Directory

Locations

155 Saco Ave
Ste 1
Old Orchard Beach, ME 04064
Phone (207) 934-4132

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1679869846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SACO AVE",
            "address_2": "SUITE 1",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4132",
            "fax_number": "207-934-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SACO AVE",
            "address_2": "SUITE 1",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040641600",
            "telephone_number": "207-934-4132",
            "fax_number": "207-934-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD ORCHARD BEACH FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "NAROWETZ",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-934-4132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Orchard Beach, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.