Active NPI
David Bukala, DMD
- Dentist
- Windsor, ME
National Provider Identifier
1922471549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4457
- Practice address
- 297 Augusta Rockland Rd
Windsor, ME 04363-3613 - Phone
- (207) 549-5945
- NPI assigned
- Nov 4, 2015
- Last updated
- May 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4457 | ME | Primary |
Addresses
Primary practice location
297 Augusta Rockland Rd
Windsor, ME 04363-3613
Mailing address
297 Augusta Rockland Rd
Windsor, ME 04363-3613
Phone (857) 264-9586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN4457 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windsor Preventive Dental Care, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Windsor, ME
- NPI 1578952792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1922471549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 AUGUSTA ROCKLAND RD",
"city": "WINDSOR",
"state": "ME",
"postal_code": "043633613",
"telephone_number": "857-264-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 AUGUSTA ROCKLAND RD",
"city": "WINDSOR",
"state": "ME",
"postal_code": "043633613",
"telephone_number": "207-549-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKALA",
"first_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.