NPIMap

Organization Active NPI

Bangor Denture

  • Denturist
  • Bangor, ME
National Provider Identifier
1821709353
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
BANGOR DENTURE
Practice address
753 Stillwater Ave Ste 6
Bangor, ME 04401-3633
Phone
(207) 573-4242
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Kristina Spaulding, LDNPI 1487390225
Title
Owner/Denturist
Phone
(207) 573-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X Primary

Addresses

Primary practice location

753 Stillwater Ave Ste 6
Bangor, ME 04401-3633

Mailing address

753 Stillwater Ave Ste 6
Bangor, ME 04401-3633
Phone (207) 573-4242

National Provider Directory

National Provider Directory

Locations

753 Stillwater Ave
Ste 6
Bangor, ME 04401
Phone (207) 573-4242

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1821709353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 STILLWATER AVE STE 6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013633",
            "telephone_number": "207-573-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 STILLWATER AVE STE 6",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013633",
            "telephone_number": "207-573-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR DENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/DENTURIST",
        "authorized_official_telephone_number": "207-573-4242",
        "authorized_official_credential": "LD"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "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 Dec 6, 2022; 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.