Granite Coast Orthodontics, LLC PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN4118 Issued in ME

Legal business name

GRANITE COAST ORTHODONTICS, LLC PA

Practice address

1056 Commercial St
Rockport, ME 04856-3801

Phone

(207) 470-7466

Fax

(207) 517-6167

NPI assigned

Aug 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Peter Laliberte, D.M.D.

Title

President/Orthodontist

Phone

(207) 470-7466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1891042099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-470-7466",
            "fax_number": "207-517-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-470-7466",
            "fax_number": "207-517-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE COAST ORTHODONTICS, LLC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LALIBERTE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "207-470-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Thomas Gonnella, M.D.
• C. Lee Goss, PSY.D, NCSP
• Jonathan M Goss
• Michael K Gowesky, MD
• Deirdre A. Gramas, M.D.
• Archibald H Green, DO
• Jason Warren Green, DPM
• Richard Thomas Grunke, CRNA
• Jennifer Guilfoyle, FNP
• Monika Eva Gulyas, CNM

• Dental Clinic/Center in Rockport, ME
• Providers in Rockport, 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 Aug 7, 2012; 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.