Raymond T Bedette, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Auburn, ME
NPI 1780740977 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1780740977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2797 (ME)
- Practice address
- 1 Willow Run
Auburn, ME 04210-8501 - Phone
- (207) 784-8587
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | ME | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Orthodontics, P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2797 | ME | Yes |
Addresses
Primary practice location
1 Willow Run
Auburn, ME 04210-8501
Mailing address
1 Willow Run
Auburn, ME 04210-8501
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112820000 | Medicaid | ME |
Other providers in Auburn, ME
- Scott M Beckerman
- Bedard Medical Inc
- Bedard Pharmacy, Inc.
- Bedard Pharmacy, Inc.
- Bedard Senior Care Inc
- Danielle Casey Begert
- Caitlin Beling
- Karri Beling
- Benevolent Care LLC
- Alexandra Howell Benner-Roberts
All providers in Auburn, ME · Orthodontics and Dentofacial Orthopedics Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.