Thomas Edmond Anglim, DDS
Individual provider Active NPI General Practice Dentistry · Bath, ME
NPI 1912939083 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912939083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2711 (ME)
- Practice address
- 130 Centre St
Suite One
Bath, ME 04530-2548 - Phone
- (207) 443-3232
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2711 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plourde Family Dental PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2711 | ME | Yes |
Addresses
Primary practice location
130 Centre St
Suite One
Bath, ME 04530-2548
Mailing address
130 Centre St
Suite One
Bath, ME 04530-2548
Phone (207) 443-3232
Other providers in Bath, ME
- Alem Home Care LLC
- Catherine Elizabeth Allen
- Alul Home Care LLC
- Madison Anderson
- Gail Aseltine
- Ashly K. Ashton
- Shannon Babcock
- Shira J.S. Barnett
- Bath Area Family Young Men'S Christian Association
All providers in Bath, ME · General Practice Dentistry in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.