Center for Advanced Dentistry of Yarmouth

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTER FOR ADVANCED DENTISTRY OF YARMOUTH

Doing business as

Advanced Dentistry of Yarmouth

Practice address

45 Forest Falls Dr Ste B3
Yarmouth, ME 04096-6999

Phone

(207) 847-0215

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 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

Jonathan Bernstein, DDS

Title

Doctor

Phone

(716) 908-1084

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dentistry of Yarmouth Doing business as

Locations

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1912537739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR STE B3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-847-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FOREST FALLS DR STE B3",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966999",
            "telephone_number": "207-847-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED DENTISTRY OF YARMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "716-908-1084",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry of Yarmouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Carew, MSN, RN, CPNP-PC
• Stacey Lynn Carlson, MPT
• Joshua Caron, MT
• Tiffany Nicole Carter Skillings, LM, CPM, IBCLC
• Ceci Zerega, RN, MSN, CS, Inc
• Centreboard 207 LLC (Centreboard Physical Therapy and Massage)
• Emma Grace Chamberlain, PA-C
• Patricia Chanterelle, DC
• Elissa J Charbonneau, DO
• Jamie Charron

• General Practice Dentistry in Yarmouth, ME
• Providers in Yarmouth, 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 Jan 21, 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.