Buxton Denture Clinic

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5511 Issued in ME

Legal business name

BUXTON DENTURE CLINIC

Practice address

12 Stillwater Ave
Bangor, ME 04401-3984

Phone

(207) 941-6550

Fax

(207) 973-3952

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Miss Stephanie R Buxton

Title

Denturist

Phone

(207) 941-6550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• new england denture center Doing business as

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1750615399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-941-6550",
            "fax_number": "207-973-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013984",
            "telephone_number": "207-941-6550",
            "fax_number": "207-973-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUXTON DENTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTURIST",
        "authorized_official_telephone_number": "207-941-6550",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "5511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433129699",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new england denture center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hailey Butler
• Michael P Butler, ED SPEC
• Cassandra Terri Lynn Butt, MD
• James Butts, LMSW-CC
• Buxton Dental PC
• Stephanie R Buxton, LD
• Travis Raymond Buxton, DDS
• Miranda Byard
• William R Byers, MD
• Christopher Hilles Byrne, MD

• Dental Clinic/Center in Bangor, ME
• Providers in Bangor, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.