NPIMap

Organization Active NPI

Willow Run Dental Assoc. P.a.

  • General Practice Dentistry
  • Auburn, ME
National Provider Identifier
1992745384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2892 Issued in ME
Legal business name
WILLOW RUN DENTAL ASSOC. P.A.
Practice address
1 Willow Run
Unit 1-B
Auburn, ME 04210-8501
Phone
(207) 783-0261
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Girouard, RDH
Title
Office Manager
Phone
(207) 783-0261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2892 ME Primary

Addresses

Primary practice location

1 Willow Run
Unit 1-B
Auburn, ME 04210-8501

Mailing address

1 Willow Run
Unit 1-B
Auburn, ME 04210-8501
Phone (207) 783-0261

National Provider Directory

National Provider Directory

Locations

1 Willow Run
Unit 1B
Auburn, ME 04210
Phone (207) 783-0261

Practitioners & affiliated clinicians

Practitioners 3

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": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992745384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WILLOW RUN",
            "address_2": "UNIT 1-B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108501",
            "telephone_number": "207-783-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLOW RUN",
            "address_2": "UNIT 1-B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108501",
            "telephone_number": "207-783-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW RUN DENTAL ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIROUARD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "207-783-0261",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.