Organization Active NPI

Maine Dental Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Yarmouth, ME
National Provider Identifier
1952198632
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kate Lydon, RNNPI 1679986798
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20250801000099 ME Part B Supplier - Ambulatory Surgical Center 2062920036 Practice locations: Yarmouth, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2324589Maine Dental Surgery Center701 US Rte 1, Yarmouth, ME 04096Certificate of waiverMay 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.