NPIMap

Organization Active NPI

Maine Dental Group, P.C.

  • General Practice Dentistry
  • Biddeford, ME
National Provider Identifier
1740412899
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
David LeeNPI 1770189672
Title
Coo
Phone
(732) 207-1689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary 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

  • Gentle Dental Other name

National Provider Directory

National Provider Directory

Locations

440 Narragansett Trl
Buxton, ME 04093
Phone (207) 352-4163

Practitioners & affiliated clinicians

Practitioners 8

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": "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.

Verify at the official NPI Registry.