NPIMap

Organization Active NPI

David C Haluska DMD PLLC

  • General Practice Dentistry
  • Bangor, ME
National Provider Identifier
1740731470
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN 4267 Issued in ME
Legal business name
DAVID C HALUSKA DMD PLLC
Practice address
12 Stillwater Ave
Suite 6
Bangor, ME 04401-3984
Phone
(207) 941-6550
NPI assigned
Oct 18, 2016
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Dr. David C Haluska, DMDNPI 1023367125
Title
President
Phone
(207) 249-9524

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 Dentistry 1223G0001X DEN 4267 ME Primary

Addresses

Primary practice location

12 Stillwater Ave
Suite 6
Bangor, ME 04401-3984

Mailing address

12 Stillwater Ave
Suite 6
Bangor, ME 04401-3984
Phone (207) 941-6550

National Provider Directory

National Provider Directory

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1740731470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "address_2": "SUITE 6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-941-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "address_2": "SUITE 6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-941-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C HALUSKA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "HALUSKA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-249-9524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN 4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.