NPIMap

Organization Active NPI

Windham Dentistry LLC

  • Dental Clinic/Center
  • Windham, ME
National Provider Identifier
1851965461
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WINDHAM DENTISTRY LLC
Practice address
713 Roosevelt TRL
Windham, ME 04062-5269
Phone
(207) 892-3200
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Cory Murray, DDS
Title
Co/Owner
Phone
(207) 550-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

713 Roosevelt TRL
Windham, ME 04062-5269

Mailing address

713 Roosevelt TRL
Windham, ME 04062-5269
Phone (207) 892-3200

Other names 1

  • Dental Office of Dr Leslie Elston Doing business as

National Provider Directory

National Provider Directory

Locations

713 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3200

Practitioners & affiliated clinicians

Practitioners 4

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1851965461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625269",
            "telephone_number": "207-892-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 ROOSEVELT TRL",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625269",
            "telephone_number": "207-892-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CO/OWNER",
        "authorized_official_telephone_number": "207-550-7479",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Office of Dr Leslie Elston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.