Patterson Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PATTERSON ORTHODONTICS, LLC

Doing business as

Smiles For Maine Orthodontics

Practice address

12 Park St
Waterville, ME 04901-6039

Phone

(207) 873-7425

Fax

(207) 873-0540

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Brian Patterson, DDS

Title

Owner

Phone

(409) 782-1118

Specialties & licenses 1

Addresses

Other names 1

• Smiles For Maine Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1700410412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARK ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016039",
            "telephone_number": "207-873-7425",
            "fax_number": "207-873-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARK ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016039",
            "telephone_number": "207-873-7425",
            "fax_number": "207-873-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-782-1118",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles For Maine Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephanie Pare
• Jae Min Park, DDS
• Brian David Patterson, DDS, MS
• Pauhana Orthopedics P.a. (Orthopedics LTD.)
• Jeremy Paules
• Michelle Paules, OTR/L
• Patricia L Payson, LCPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Waterville, ME
• Providers in Waterville, ME by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.