Royal River Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3434 Issued in ME

Legal business name

ROYAL RIVER DENTAL LLC

Practice address

269 US Route 1
Cumberland Foreside, ME 04110-1329

Phone

(207) 829-4444

NPI assigned

Feb 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brian Chris GreenNPI 1679770408

Title

Owner

Phone

(207) 829-4444

Specialties & licenses 1

Addresses

Other names 1

• The Art Of Dentistry Doing business as

Locations

Practitioners 1

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

• Brian C Green, DMD

  • General Practice Dentistry
  • Cumberland Foreside, ME
  • NPI 1679770408
  NPD (past) Authorized official

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1699134585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 US ROUTE 1",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101329",
            "telephone_number": "207-829-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 US ROUTE 1",
            "city": "CUMBERLAND FORESIDE",
            "state": "ME",
            "postal_code": "041101329",
            "telephone_number": "207-829-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL RIVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-829-4444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Art Of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Oliver, LADC, CCS
• Deborah Pepper-Dougherty, R.D.
• Rasha Y Hanafy, DO LLC
• Stephen M Redmond, D.C.
• Tenille S Reichert, MA, CCC-SLP
• Patricia Ruggles

• General Practice Dentistry in Cumberland Foreside, ME
• Providers in Cumberland Foreside, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.