NORTHWOODS DENTAL LLC (NPI# 1033574348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033574348 |
| Entity Type | Organization |
| Organization Name | NORTHWOODS DENTAL LLC |
| Practice Address |
327 North Ave Skowhegan ME 04976 |
| Mailing Address |
Po Box 411 Skowhegan ME 04976-0411 |
| Practice Telephone | 2074748588 |
| Practice Fax Number | 2074749745 |
| Mailing Telephone | 2074748588 |
| Mailing Fax Number | 2074749745 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | DR. DEMITROULA KOUZOUNAS (OWNER) |
| Authorized Official Telephone | 2074748588 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
327 NORTH AVE |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| 1811052376 | Kathleen M Dumont | Counselor | 17 Cross St. Suite 2, Skowhegan, ME 04976 | 2006-12-26 |
| Find all providers in zip 04976 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568670347 | Jacqueline Tjon Sieuw Morin | Dentist | 28 S Factory St, Skowhegan, ME 04976-1425 | 2007-05-18 |
| 1194848390 | Jacqueline Tjon Sieuw Morin | Dentist | 28 South Factory Street, Skowhegan, ME 04976-1425 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354559 | Wes Mills | Dentist | 58 Portland Rd Ste 5, Kennebunk, ME 04043-6651 | 2020-10-20 |
| 1871119297 | Alexander Katanov | Dentist | 10 Market Sq Ste 3, South Paris, ME 04281-1573 | 2020-06-22 |
| 1720601321 | Margaret Mary Ellen Palmer | Dentist | 80 Pleasant Street, Brunswick, ME 04011-2203 | 2020-05-19 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1972156727 | Wanho Lew | Dentist | 127 Topsham Fail Mall Rd., Topsham, ME 04086 | 2019-07-22 |
| 1093372906 | Kevin Wright | Dentist | 99 Oak St, Ellsworth, ME 04605-1622 | 2019-05-27 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1801381686 | John Stanley Skvorak IIi | Dentist | 290 Bridgton Rd, Westbrook, ME 04092-3753 | 2018-06-25 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWOODS DENTAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.