Organization Active NPI

R. Scott Cunningham, D.D.S, P.a

Doing business as Thomaston Family Dentistry

  • Dental Clinic/Center
  • Thomaston, ME
National Provider Identifier
1710457296
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
R. SCOTT CUNNINGHAM, D.D.S, P.A
Doing business as
Thomaston Family Dentistry
Practice address
4 Congo Ave
Thomaston, ME 04861-3625
Phone
(207) 354-6453
Fax
(207) 354-8757
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Dr. Raymond Scott Cunningham, DDS
Title
President/Dentist
Phone
(207) 354-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4 Congo Ave
Thomaston, ME 04861-3625

Mailing address

4 Congo Ave
Thomaston, ME 04861-3625
Phone (207) 354-6453

Other names 1

  • Thomaston Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4 Congo Ave
Thomaston, ME 04861
Phone (207) 354-6453

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1710457296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CONGO AVE",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613625",
            "telephone_number": "207-354-6453",
            "fax_number": "207-354-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CONGO AVE",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613625",
            "telephone_number": "207-354-6453",
            "fax_number": "207-354-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. SCOTT CUNNINGHAM, D.D.S, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "207-354-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomaston Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomaston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.