KENNEBEC VALLEY FAMILY DENTISTRY (NPI# 1114153939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114153939 |
| Entity Type | Organization |
| Organization Name | KENNEBEC VALLEY FAMILY DENTISTRY |
| Practice Address |
269 Water St Augusta ME 04330-4645 |
| Mailing Address |
6 E Chestnut St Ste 420 Augusta ME 04330-5743 |
| Practice Telephone | 2076233400 |
| Practice Fax Number | 2076233440 |
| Mailing Telephone | 2076233400 |
| Mailing Fax Number | 2076233440 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | MS. KIMBERLEY GORDON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2076233400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 3095 | ME | Managed Care Organizations |
| Street Address |
269 WATER ST |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108295 | Raymond Scott Cunningham | Dentist | 269 Water St, Augusta, ME 04330-4645 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1013467190 | Terese Inc. | Point of Service | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1689093528 | Sbyam Interpretation Services | Point of Service | 57 Birch Street Suite 204, Lewiston, ME 04240 | 2014-04-08 |
| 1497186191 | Lommler, Pa | Point of Service | 205 French Street, Suite 2, Bangor, ME 04401-5064 | 2013-12-05 |
| 1740562339 | Nu Transcription Inc | Point of Service | 18 Turner St, Westbrook, ME 04092 | 2011-09-09 |
| 1881917359 | Ethel's Tree of Life, Inc. | Point of Service | 518 Rte 1, Kittery, ME 03904 | 2010-03-11 |
| 1134397557 | Philip R. Poulin, O.d. | Point of Service | 87 Exchange St, Portland, ME 04101-5001 | 2008-02-19 |
| 1043348733 | Pat Jubinville | Point of Service | 280 Cider Hill Rd, Exeter, ME 04435-3011 | 2007-03-02 |
| 1871668947 | Bayside Employee Health Center | Point of Service | 323 Marginal Way, Portland, ME 04101-2543 | 2006-11-22 |
| 1790156792 | Deirdre Sulka-meister Fnp LLC | Point of Service | 100 Brickhill Ave, Ste 304, South Portland, ME 04106-1999 | 2015-10-15 |
| 1942671250 | Hospice Volunteers of Somerset County | Point of Service | 41 Main St, Skowhegan, ME 04976-1151 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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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.