NPIMap

Organization Active NPI

Andrea M. Taliento, DMD, P.a.

Doing business as Maplewood Dental Arts

  • General Practice Dentistry
  • Gorham, ME
National Provider Identifier
1679923643
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4035 Issued in ME
Legal business name
ANDREA M. TALIENTO, DMD, P.A.
Doing business as
Maplewood Dental Arts
Practice address
405 Main St
Gorham, ME 04038-1311
Phone
(207) 839-6266
Fax
(207) 839-7019
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Andrea Taliento McBride, D.M.D.
Title
President/Dentist
Phone
(207) 839-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN4035 ME Primary

Addresses

Primary practice location

405 Main St
Gorham, ME 04038-1311

Mailing address

405 Main St
Gorham, ME 04038-1311
Phone (207) 839-6266

Other names 1

  • Maplewood Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

405 Main St
Gorham, ME 04038
Phone (207) 839-6266

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1679923643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381311",
            "telephone_number": "207-839-6266",
            "fax_number": "207-839-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381311",
            "telephone_number": "207-839-6266",
            "fax_number": "207-839-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M. TALIENTO, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "TALIENTO",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "207-839-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.