Bangor Family Dentistry in Bangor - General Practice
Bangor Family Dentistry - NPI 1457360562
Bangor Family Dentistry is a General Practice in Bangor, Maine. Bangor Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bangor Family Dentistry is 1457360562. The last update date is 2018-05-04.
Bangor Family Dentistry's current location address is 83 Ridgewood Dr, Bangor, Maine. You can contact this provider via phone number 2079474767 and fax number 2079477112. The mailing address for Bangor Family Dentistry is 83 Ridgewood Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bangor Family Dentistry |
|---|---|
| Address | 83 Ridgewood Dr, Bangor, Maine |
| Phone Number | 2079474767 |
| Fax Number | 2079477112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Carreira L Mark |
| Credentials | D.M.D., D. |
| Telephone Number | 2079474767 |
NPI Number Detail
| NPI Number | 1457360562 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2018-05-04 |
Provider Mailing Address Detail
| Address | 83 Ridgewood Dr |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44012652 |
| Phone Number | 2079474767 |
| Fax Number | 2079477112 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2098 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104880000 | ME | -- | |
| 828257 | ME | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bangor Family Dentistry by the Centers for Medicare & Medicaid Services?
The Bangor Family Dentistry has been issued the NPI (National Provider Identifier) 1457360562, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Bangor Family Dentistry's facilities are geographically located?
The facilities of Bangor Family Dentistry are physically situated at the following location: 83 Ridgewood Dr, Bangor, ME, 44012652.
What is Bangor Family Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bangor Family Dentistry is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Bangor Family Dentistry receive the assignment of its 1457360562 from the Centers for Medicare & Medicaid Services?
The Bangor Family Dentistry was issued its 1457360562 by the Centers for Medicare & Medicaid Services on 2006-08-07.
When was the information regarding Bangor Family Dentistry most recently updated?
The details pertaining to the Bangor Family Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2018-05-04.
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