Organization Active NPI

Corey J. Teguis DMD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Biddeford, ME
National Provider Identifier
1891236766
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3652 Issued in ME
Legal business name
COREY J. TEGUIS DMD PA
Practice address
28 W Cole Rd Ste 102
Biddeford, ME 04005-9428
Phone
(207) 282-5682
Fax
(207) 282-3598
NPI assigned
Mar 13, 2017
Last updated
May 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Authorized official

Name
Dr. Corey J TeguisNPI 1063606606
Title
Owner
Phone
(207) 282-5682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 3652 ME Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 2589 ME

Addresses

Primary practice location

28 W Cole Rd Ste 102
Biddeford, ME 04005-9428

Mailing address

28 West Cole Rd Suite 102
Biddeford, ME 04005
Phone (207) 282-5682

National Provider Directory

National Provider Directory

Locations

28 W Cole Rd
Ste 102
Biddeford, ME 04005
Phone (207) 282-5682

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494892800000",
    "number": "1891236766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WEST COLE RD SUITE 102",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "04005",
            "telephone_number": "207-282-5682",
            "fax_number": "207-282-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W COLE RD STE 102",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059428",
            "telephone_number": "207-282-5682",
            "fax_number": "207-282-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY J. TEGUIS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-05-16",
        "status": "A",
        "authorized_official_last_name": "TEGUIS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-282-5682",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "3652",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ME",
            "license": "2589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.