New Leaf Dental, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NEW LEAF DENTAL, PC

Practice address

90 Main St
Topsham, ME 04086-1209

Phone

(207) 725-2122

NPI assigned

Oct 13, 2017

Last updated

Oct 13, 2017By 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

Melissa Haidu, DDS

Title

President

Phone

(207) 522-9727

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1861903148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861209",
            "telephone_number": "207-725-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "HAIDU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-522-9727",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972689511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Msad 75
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• Julia Murch
• Kathleen McDevitt Murphy, PT,DPT
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• Erika Newman, PHARM.D.
• Polly Sue Nichols, DDS
• Elizabeth Nieuwkerk, PHARMD, RPH
• Northeast Mobile Health Services
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• Dental Clinic/Center in Topsham, ME
• Providers in Topsham, 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 13, 2017; 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.