Active NPI
Maine Dental Surgery Center PC
- Ambulatory Surgical Clinic/Center
- Yarmouth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MAINE DENTAL SURGERY CENTER PC
- Practice address
- 701 US Route 1 Ste 3a
Yarmouth, ME 04096-7006 - Phone
- (207) 740-8105
- NPI assigned
- Apr 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kate Lydon, RN
- Title
- Clinical Director
- Phone
- (207) 740-8105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
701 US Route 1 Ste 3a
Yarmouth, ME 04096-7006
Mailing address
701 US Route 1 Ste 3a
Yarmouth, ME 04096-7006
Phone (207) 740-8105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250801000099 | ME | Part B Supplier - Ambulatory Surgical Center | 2062920036 | Practice locations: Yarmouth, ME |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2324589 | Maine Dental Surgery Center | Certificate of waiver | May 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
701 US Route 1
Ste 3A
Yarmouth, ME 04096
Phone (207) 740-8105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Lewiston, ME
- NPI 1679986798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1952198632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 US ROUTE 1 STE 3A",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040967006",
"telephone_number": "207-740-8105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 US ROUTE 1 STE 3A",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040967006",
"telephone_number": "207-740-8105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINE DENTAL SURGERY CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "LYDON",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "207-740-8105",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.