American Heritage Dentistry, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AMERICAN HERITAGE DENTISTRY, PLLC

Practice address

163 Hollis Rd
Hollis Center, ME 04042-4002

Phone

(207) 929-3550

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By 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. Luke Richard Libby, DMDNPI 1083232912

Title

Owner/Dentist

Phone

(207) 671-3032

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Luke R Libby, DMD

  • Dentist
  • Buxton, ME
  • NPI 1083232912
  NPD Authorized official
• Robert Lundin, DMD

  • General Practice Dentistry
  • Hollis, ME
  • NPI 1487718052
  NPD (past)

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1841011335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DENNETT RD",
            "city": "DAYTON",
            "state": "ME",
            "postal_code": "040059611",
            "telephone_number": "207-671-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOLLIS RD",
            "city": "HOLLIS CENTER",
            "state": "ME",
            "postal_code": "040424002",
            "telephone_number": "207-929-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HERITAGE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "207-671-3032",
        "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": []
}

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• Dental Clinic/Center in Hollis Center, ME
• Providers in Hollis Center, 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 Oct 18, 2024; 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.