DR. WILLIAM ATHERTON BAGLEY (NPI# 1255351664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255351664 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ATHERTON BAGLEY |
| Credential | D.D.S. |
| Practice Address |
369 Main St Lewiston ME 04240-7030 |
| Practice Telephone | 2077820044 |
| Practice Fax Number | 2077820343 |
| Mailing Telephone | 2077820044 |
| Mailing Fax Number | 2077820343 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2324 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 106290000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841334760 | William Ryan Bagley | Dentist | 4904 Convention Dr, Pasco, WA 99301 | 2007-02-16 |
| 1114184215 | William H Bagley Iv | Emergency Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2008-05-18 |
| Street Address |
369 MAIN ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351715 | Kristin Ferero | Social Worker | 369 Main St, Lewiston, ME 04240 | 2018-10-05 |
| 1578040473 | Jessica Pearson | Counselor | 369 Main St, Lewiston, ME 04240-7030 | 2018-07-24 |
| 1881134674 | Alyssa Lore Antkies | Counselor | 369 Main St, Lewiston, ME 04240-7030 | 2017-02-28 |
| 1396100541 | Christine Audet | Community Health Worker | 369 Main St, Lewiston, ME 04240-7030 | 2015-12-15 |
| 1588046825 | Holly Marie Kiidli | Counselor | 369 Main St, Lewiston, ME 04240-7030 | 2015-06-23 |
| 1588901706 | Jason Ross Antkies | Counselor | 369 Main St, Lewiston, ME 04240-7030 | 2013-01-08 |
| 1053667634 | Julie Wyona Vecchio | Counselor | 369 Main St, Lewiston, ME 04240-7030 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669511374 | Robert Danny Moore | Dentist | 24 Penn Plz, Bangor, ME 04401-3620 | 2007-02-06 |
| 1518003094 | Mark Edward Grubb | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-01-30 |
| 1043374762 | Martin Dunn | Dentist | 1036 Brighton Ave, Unit A, Portland, ME 04102 | 2006-12-20 |
| 1629173711 | Russell J Collett | Dentist | 1601 Congress Street, Portland, ME 04102 | 2006-09-13 |
| 1548295520 | Richard Paul Lemieux | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2006-07-11 |
| 1407142540 | Molly Dee Cohen | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2011-06-28 |
| 1780995712 | Luke L'heureux | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2010-06-24 |
| 1255474698 | Northeast Oral & Maxillofacial Surgery Associates P.a. | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-02-15 |
| 1497892475 | Richard P. Lemieux D.m.d., Pa | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2007-01-31 |
| 1073659538 | William Alexander Deighan | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-01-30 |
| 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.