County Roots Childrens Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

COUNTY ROOTS CHILDRENS DENTISTRY LLC

Practice address

181 Academy St Ste 4
Presque Isle, ME 04769-3178

Phone

(207) 462-4767

Fax

(207) 512-1702

NPI assigned

Oct 17, 2024

Last updated

Oct 17, 2024By 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. Erik Arthur Johnson, DMDNPI 1184888026

Title

Pediatric Dentist

Phone

(207) 551-3304

Specialties & licenses 1

Addresses

Locations

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.

• Erik Arthur Johnson, DMD

  • Dentist
  • Presque Isle, ME
  • NPI 1184888026
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1689494213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4197",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "04769",
            "telephone_number": "207-462-4767",
            "fax_number": "207-512-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST STE 4",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-462-4767",
            "fax_number": "207-512-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY ROOTS CHILDRENS DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "207-551-3304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Cooke, MHRT-CSP/MHRT-1
• Ryan Paul Cormier, PT
• Nancy Marbel Cosgrove, FNP-BC
• Elizabeth A Cote Estrada, M.D.
• County Behavioral Medicine
• Melissa Diane Cowley Perry, FNP-C, ACNP-AG
• David Arthur Cowley, CRNA
• Alexis Rae Craig, MS, OT/L
• Shea Gabriella Craig, MS OTR/L
• Bredon Crawford, MD

• Dentist in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.