Ducor Dent LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN3759 Issued in ME

Legal business name

DUCOR DENT LLC

Practice address

395A Bridgton Rd
Westbrook, ME 04092-3733

Phone

(207) 878-8181

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By 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. Jonathan David Gibbs, D.D.S.

Title

Owner

Phone

(207) 878-8181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1881988210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395A BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923733",
            "telephone_number": "207-878-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395A BRIDGTON RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923733",
            "telephone_number": "207-878-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCOR DENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-878-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dove Healthcare LLC
• Jennifer Downing
• Aerial Mauranda Draper, LSW-C
• Kristina Jimenez Drobish, PHARMD
• Megan Drohan, M.S., CCC-SLP
• Megan Duest, LMSW-CC
• Mackenzie Dawson Dufresne, PMHNP
• Matthew C Dugan, D.O.
• Molly Grace Dugre, FNP-C
• Keara Anne Dupont Anctil, LCSW

• General Practice Dentistry in Westbrook, ME
• Providers in Westbrook, 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 Jun 2, 2011; 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.