CATHOLIC CHARITIES MAINE (NPI# 1114151180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114151180 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES MAINE |
| Other Organization Name | JESSE ALBERT DENTAL AND ORTHODONTIC CENTER |
| Practice Address |
171 Congress Ave Bath ME 04530-1531 |
| Mailing Address |
307 Congress St Portland ME 04101-3638 |
| Practice Telephone | 2074439721 |
| Practice Fax Number | 2074439722 |
| Mailing Telephone | 2077818550 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MR. STEPHEN P LETOURNEAU (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2077818550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jesse Albert Dental and Orthodontic Center | Other Name - Individual/Organization |
| Jesse Albert Dental Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013955947 | Catholic Charities Maine | Counselor | 307 Congress Street, Portland, ME 04101-3638 | 2006-06-03 |
| 1487020970 | Catholic Charities Maine | Community/Behavioral Health | 11 Baxter Blvd, Portland, ME 04101-1801 | 2015-08-19 |
| 1558684217 | Catholic Charities Maine | Community/Behavioral Health | 66 State St, Portland, ME 04101-3751 | 2010-03-10 |
| 1073835104 | Catholic Charities Maine | Case Management | 66 State St, Portland, ME 04101-3751 | 2010-02-16 |
| 1104987296 | Catholic Charities Maine | Social Worker | 66 State St, Portland, ME 04101-3751 | 2006-12-12 |
| Street Address |
171 CONGRESS AVE |
| City | BATH |
| State | ME |
| Zip Code | 04530-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174674485 | Meredith Leigh Davis | Dentist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-01-15 |
| 1235435561 | Michelle Roberts | Dentist | 171 Congress Ave, Bath, ME 04530-1531 | 2011-02-03 |
| 1568696540 | Benjaman Ray Desmond | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2009-05-06 |
| 1235363227 | Gillian Denise Desmond | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2009-05-06 |
| 1295870889 | Karen Alison Palleschi | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-02-21 |
| 1598800112 | Theodore W. Graff | Dentist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-02-21 |
| 1265575658 | Nycole Evangeline Nadeau | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-02-15 |
| 1649321779 | Janel Angela Forde | Dentist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-01-16 |
| 1598816647 | Jospeh Daniel Burnell | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-01-16 |
| 1952452641 | Linda Lucille Langley | Dental Hygienist | 171 Congress Ave, Bath, ME 04530-1531 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1619368024 | Cathleen D Koslosky | Nurse Practitioner | 108 Centre St Ste 200, Bath, ME 04530 | 2015-02-08 |
| 1558760801 | Carrie M Werner | Naturopath | 92 Commercial St, Bath, ME 04530 | 2014-08-21 |
| 1457765125 | Mandy Winne | Massage Therapist | 9 Centre Street, Bath, ME 04530 | 2014-06-20 |
| 1295162618 | Dusty Jones | Behavioral Analyst | 995 Middle Street, Bath, ME 04530 | 2013-09-30 |
| 1659520096 | Tedford Housing-evergreen Woods | Case Management | 10 James Way, Bath, ME 04530 | 2008-09-10 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1740463009 | Bruce Alan Verrill | Dentist | 42 Front Street, Bath, ME 04530 | 2007-12-10 |
| 1699958249 | Myron K Krueger Md Pa | Internal Medicine | 765 High Street, Bath, ME 04530 | 2007-12-06 |
| Find all providers in zip 04530 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427264308 | Ronald G Sawyer Dmd Pa | Clinic/Center | 304 Washington St, Bath, ME 04530-1641 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
| 1174184253 | Gorham Village Dental LLC | Clinic/Center | 77 South St, Gorham, ME 04038-1715 | 2019-06-27 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
| 1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
| 1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
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| 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.