Family Preventive Dental Care, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

2877 Issued in ME

Legal business name

FAMILY PREVENTIVE DENTAL CARE, P.A.

Practice address

251 US Route 1
Falmouth, ME 04105-1322

Phone

(207) 781-4625

Fax

(207) 781-3204

NPI assigned

May 15, 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

Dr. Geoffrey W Wagner, D.D.S.NPI 1043393341

Title

General Dentist

Phone

(207) 781-4625

Specialties & licenses 1

Addresses

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.

• Geoffrey W Wagner, DDS

  • Dentist
  • Falmouth, ME
  • NPI 1043393341
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912113010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-781-4625",
            "fax_number": "207-781-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 US ROUTE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051322",
            "telephone_number": "207-781-4625",
            "fax_number": "207-781-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PREVENTIVE DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "207-781-4625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Falmouth School Department
• Falmouth School Department
• Falmouth Vision Center
• Falsey LCSW P.a
• Sandra Patricia Falsey, L.C.S.W
• Family Vision Solutions, PA
• Jonathan T Fanburg, MD
• Kimberly Gilbert Farr, D.C.
• Chelsea Faulkner, MA, ATR, LAPC
• Susan Elizabeth Fekety, MSN CNM

• Dentist in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Dentist 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.