Creative Dental Solutions LLC, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3269 Issued in ME

Legal business name

CREATIVE DENTAL SOLUTIONS LLC, P.A.

Practice address

1407 Broadway
Bangor, ME 04401-2403

Phone

(207) 942-3000

Fax

(207) 992-4054

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

James M Sevey, D.M.D.NPI 1558463901

Title

Sole Member

Phone

(207) 942-3000

Specialties & licenses 1

Addresses

Practitioners 2

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

• James Michael Sevey, DMD

  • General Practice Dentistry
  • Bangor, ME
  • NPI 1558463901
  NPD (past) Authorized official
• Sung Jun Yeon, DMD

  • General Practice Dentistry
  • Bangor, ME
  • NPI 1417605460
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1851593669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012403",
            "telephone_number": "207-942-3000",
            "fax_number": "207-992-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012403",
            "telephone_number": "207-942-3000",
            "fax_number": "207-992-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL SOLUTIONS LLC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "SEVEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "207-942-3000",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "3269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stuart Cravens, FNP
• Rhashelia Shantini Crawford Floris, M.D.
• Jill Ann Crawford, FNP-C
• Tracy JH Crawford, LMT
• Creative Dental LLC
• Creative Options, LLC
• Creative Options, LLC
• Bonnie Creech, PH.D.
• Wanda J. Creed, BC-HIS
• Guillermo J Crespo, MD

• 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 Sep 10, 2013; 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.