Active NPI
Maine Dental Group, P.C.
- General Practice Dentistry
- Biddeford, ME
National Provider Identifier
1740412899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MAINE DENTAL GROUP, P.C.
- Practice address
- 473 Alfred St
Biddeford, ME 04005-9465 - Phone
- (207) 283-3775
- NPI assigned
- Aug 21, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Lee
- Title
- Coo
- Phone
- (732) 207-1689
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Buxton, ME
- NPI 1164616595
NPD (past) General Practice -
- Dentist
- Buxton, ME
- NPI 1083232912
NPD (past) Dentist -
- General Practice Dentistry
- Buxton, ME
- NPI 1770504771
NPD (past) General Practice -
- General Practice Dentistry
- Buxton, ME
- NPI 1841921285
NPD (past) General Practice -
- General Practice Dentistry
- Buxton, ME
- NPI 1902392715
NPD (past) General Practice -
- General Practice Dentistry
- Buxton, ME
- NPI 1952572869
NPD (past) General Practice -
- General Practice Dentistry
- La Jolla, CA
- NPI 1447827852
NPD (past) General Practice
National Provider Directory
National Provider DirectoryLocations
473 Alfred St
Biddeford, ME 04005
Phone (207) 283-3775
440 Narragansett Trl
Buxton, ME 04093
Phone (207) 416-8401
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
473 Alfred St
Biddeford, ME 04005-9465
Mailing address
290 Bridgton Rd Ste 2
Westbrook, ME 04092-3754
Phone (732) 207-1689
Other practice location 1
440 Narragansett Trl
Buxton, ME 04093-6505
Phone (207) 929-3900
Other names 1
NPPES NPI Registry- Gentle Dental
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2024.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1740412899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 BRIDGTON RD STE 2",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923754",
"telephone_number": "732-207-1689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 ALFRED ST",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059465",
"telephone_number": "207-283-3775"
}
],
"practiceLocations": [
{
"address_1": "440 Narragansett Trl",
"address_purpose": "LOCATION",
"city": "Buxton",
"state": "ME",
"postal_code": "040936505",
"country_code": "US",
"telephone_number": "207-929-3900",
"fax_number": "207-929-3907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAINE DENTAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-21",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "732-207-1689"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gentle Dental",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.