ELLSWORTH BUCKSPORT DENTAL ASSOCIATES (NPI# 1124352737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124352737 |
| Entity Type | Organization |
| Organization Name | ELLSWORTH BUCKSPORT DENTAL ASSOCIATES |
| Practice Address |
11 Mechanic Street Bucksport ME 04416 |
| Mailing Address |
Po Box 838 Bucksport ME 04416-0838 |
| Practice Telephone | 2074696191 |
| Practice Fax Number | 2074693816 |
| Mailing Telephone | 2074696191 |
| Mailing Fax Number | 2074693816 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | MS. JODI L SAWYER (OFFICE MANAGER) |
| Authorized Official Telephone | 2076677117 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELLSWORTH BUCKSPORT DENTAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3036 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 120010000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679784482 | Ellsworth Bucksport Dental Associates | Dentist | 325 Main St, Ellsworth, ME 04605-1511 | 2007-05-24 |
| Street Address |
11 MECHANIC STREET |
| City | BUCKSPORT |
| State | ME |
| Zip Code | 04416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831667278 | Anna Levesque | Pharmacist | 220 Us-1, Ste 1, Bucksport, ME 04416 | 2018-11-04 |
| 1528582475 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 220 Us Rte 1 Ste 1, Bucksport, ME 04416 | 2017-08-02 |
| 1679822076 | Brenden Placido Rock | Pharmacist | 220 U.S. Route 1, Bucksport, ME 04416 | 2012-08-31 |
| 1841504834 | Rashid K Sarpong | Pharmacist | Us Hwy Route 220, Rite Aid Pharmacy Fort Knox Shopping Plaza, Bucksport, ME 04416 | 2010-08-02 |
| 1740593409 | Sylvester A Osa-iyare | Pharmacist | 220 Us Route 1 Ste 1, Rite Aid Pharmacy, Bucksport, ME 04416 | 2010-07-22 |
| 1568603538 | Ester Marie Arnberg | Acupuncturist | 100 U.S. Highway #1, Suite #2, Verona Island, ME 04416 | 2009-03-20 |
| 1457560724 | Orland School Department | Local Education Agency (LEA) | 62 Mechanic Street, Bucksport, ME 04416 | 2007-05-22 |
| 1376757021 | Bucksport School Department | Local Education Agency (LEA) | 62 Mechanic St., Bucksport, ME 04416 | 2007-05-10 |
| 1174640551 | Town of Bucksport Ambulance | Emergency Medical Technician, Paramedic | 89 Franklin Street, Bucksport, ME 04416 | 2007-03-23 |
| 1578613816 | Blue Hill Psychological Services Inc | Psychologist | 65 Union St., Blue Hill, ME 04416 | 2007-01-11 |
| Find all providers in zip 04416 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568909455 | Paul J Gualtieri | Dentist | 110 Broadway, Bucksport, ME 04416-4612 | 2017-01-30 |
| 1114153418 | Gpc,llc | Dentist | 166 Franklin Street, Bucksport, ME 04416-0879 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1811529522 | Wagner Auguste Dental Pllc | Dentist | 206 High St Ste D, Ellsworth, ME 04605-1741 | 2020-02-11 |
| 1912537739 | Center for Advanced Dentistry of Yarmouth | Dentist | 45 Forest Falls Dr Ste B3, Yarmouth, ME 04096-6999 | 2020-01-21 |
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1033778246 | Alex Boucher | Dentist | 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 | 2019-06-11 |
| 1659939098 | Valerie Anne Lariviere | Dentist | 813b Main St, Waterboro, ME 04087-3006 | 2019-05-31 |
| 1427611144 | S & S Dental Group | Dentist | 2 Livewell Dr Apt 105, Kennebunk, ME 04043-6763 | 2019-04-18 |
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1386138394 | Robert Grant Belanger II | Dentist | 681 Augusta Rd, Belmont, ME 04952-3023 | 2018-06-22 |
| 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.