STILLWATER DENTAL ASSOCIATES (NPI# 1265546337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265546337 |
| Entity Type | Organization |
| Organization Name | STILLWATER DENTAL ASSOCIATES |
| Practice Address |
778 Stillwater Ave Bangor ME 04401 |
| Mailing Address |
8 Penn Plaza Bangor ME 04401 |
| Practice Telephone | 2079470717 |
| Practice Fax Number | 2079475132 |
| Mailing Telephone | 2079470717 |
| Mailing Fax Number | 2079475132 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD W BAILEY (OWNER) |
| Authorized Official Telephone | 2079470717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689946964 | Stillwater Dental Associates | Dentist | 2121 W 6th Ave, Stillwater, OK 74074-4136 | 2012-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | STILLWATER DENTAL ASSOCIATES, P.C. | 2121 West Sixth Ave, Stillwater, OK 74074 |
| Street Address |
778 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831155613 | Ronald Woodrow Bailey | Dentist | 778 Stillwater Ave, Bangor, ME 04401 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1396175741 | Jeremy Daniel Olen | Dentist | 323 Blue Valley Dr, Bangor, PA 18013-1526 | 2013-11-22 |
| 1437599933 | Rachel Ann Lukas | Dentist | 62 Corporate Drive, Bangor, ME 04401 | 2013-06-28 |
| 1417247362 | Vinh Hien Dao | Dentist | 728 Stillwater Ave, Bangor, ME 04401-3615 | 2011-04-12 |
| 1902001225 | Gary Warren Fessler | Dentist | 16 Grove Street, Bangor, ME 04401 | 2007-06-18 |
| 1659574051 | Wayne Wilson Wibby | Dentist | 20 Bellevue Ave, Bangor, ME 04401-5618 | 2007-06-06 |
| 1669691697 | Michael Leonard Pacifico | Dentist | 48 N 3rd St, Bangor, PA 18013-1908 | 2007-04-25 |
| 1063563948 | Mark Edward Eggleton | Dentist | 715 Hammond St, Bangor, ME 04401-4515 | 2007-01-16 |
| 1851487169 | Randy Joseph Heard | Dentist | 226 Broadway, Bangor, PA 18013-2528 | 2006-10-05 |
| 1881791911 | Robert L Brookings | Dentist | 39 Grove St, Bangor, ME 04401-5309 | 2006-09-20 |
| Find all providers in BANGOR | ||||
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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.