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

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.

Title

General Dentist

Phone

(207) 781-4625

Specialties & licenses 1

Addresses

Locations

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.