Maine Family Dental Practice PA

Primary specialty

DentistTaxonomy code 122300000X

License

2413 Issued in ME

Legal business name

MAINE FAMILY DENTAL PRACTICE PA

Practice address

277 State St
Suite 2B
Bangor, ME 04401

Phone

(207) 947-1166

Fax

(207) 947-6123

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Charlene McGarr

Title

Office Manager

Phone

(207) 947-1166

Specialties & licenses 1

Addresses

Other names 1

• Scott E McGarr DMD Family Dental Practice Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Raymond Buxton, DDS

  • General Practice Dentistry
  • Bangor, ME
  • NPI 1922328194
  NPD (past)
• Scott E McGarr, DMD

  • Dentist
  • Bangor, ME
  • NPI 1174635197
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760512446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "address_2": "SUITE 2B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-1166",
            "fax_number": "207-947-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 STATE ST",
            "address_2": "SUITE 2B",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-1166",
            "fax_number": "207-947-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE FAMILY DENTAL PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGARR",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-947-1166"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott E McGarr DMD Family Dental Practice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katie Mahon
• Kathryn Maietta, LCSW
• Brenda Mailman, RN
• Maine Coast Mobile Med, LLC
• Maine Coast Mobile Med. LLC
• Maine Functional Medicine
• Maine Molecular Imaging LLC
• Maine Street Medicine Works, PLLC
• Maine Urology Associates P.a.
• Maine Veterans' Home

• Dentist in Bangor, ME
• Providers in Bangor, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.