Valley Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALLEY DENTAL PLLC

Doing business as

Valley Dental

Practice address

39 Bangor Mall Blvd
Bangor, ME 04401

Phone

(207) 478-3605

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Valley, DMDNPI 1619534302

Title

Dentist

Phone

(207) 478-3605

Specialties & licenses 1

Addresses

Other names 1

• Valley Dental Doing business as

Locations

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.

• Jacob Anthony Valley, DMD

  • Dentist
  • Bangor, ME
  • NPI 1619534302
  Authorized official Same address or phone

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1760256044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BANGOR MALL BLVD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-478-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BANGOR MALL BLVD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-478-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "VALLEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "207-478-3605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Upward ABA LLC
• James H Urbina, MD
• Juanito III Ureta
• Pearl Princess De Los Santos Uy, M.D.
• Danielle Vafiades, ACNP
• Brody Thomas Valley, DMD
• Jacob Anthony Valley, DMD
• Samuel Valley, OD, PHARMD
• Spencer Valley
• Valor Recovery LLC

• 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 Nov 8, 2023; 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.