David a. Theriault, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3298 Issued in ME

Legal business name

DAVID A. THERIAULT, D.M.D

Practice address

19 Summer St
Rockland, ME 04841-2917

Phone

(207) 594-8353

Fax

(207) 594-8306

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By 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

Lindsay Harvey

Title

Office Manager

Phone

(207) 594-8353

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881814788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SUMMER ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412917",
            "telephone_number": "207-594-8353",
            "fax_number": "207-594-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. THERIAULT, D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-594-8353"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "037579",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Crocker, LSW
• Silas Crosby, DPT
• Dylan Giles Cummings, LCSW
• Blaine W Curtis, D.C.
• Lisa Darling, PHARMD
• Davis Long Term Care Group Inc (Pleasant Meadows Estates Inc)
• Davis Long Term Care Group Inc (Seven Tree Manor Inc)
• Davis Long Term Care Group Inc (Bayview Manor)
• Emma Davis, DC
• Priscilla Ann Davis

• General Practice Dentistry in Rockland, ME
• Providers in Rockland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.