CASTLEBERRY DENTAL (NPI# 1376999730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376999730 |
| Entity Type | Organization |
| Organization Name | CASTLEBERRY DENTAL |
| Practice Address |
120 South St Blue Hill ME 04614 |
| Mailing Address |
Po Box 628 Blue Hill ME 04614 |
| Practice Telephone | 2073745538 |
| Practice Fax Number | 2073742929 |
| Mailing Telephone | 2073745538 |
| Mailing Fax Number | 2073742929 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | DR. TRAVIS C CASTLEBERRY (OWNER) |
| Authorized Official Telephone | 2073745538 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4247 | ME | Dental Providers |
| Street Address |
120 SOUTH ST |
| City | BLUE HILL |
| State | ME |
| Zip Code | 04614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568803393 | Tracy L Smith, Dds | Dentist | 120 South St, Blue Hill, ME 04614-6120 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548666811 | Cas Services, Inc | In Home Supportive Care | 442 Pleasant Street, Blue Hill, ME 04614 | 2014-11-13 |
| 1295027795 | Pborchard, LLC | Social Worker | 200 Woods Point Road, Blue Hill, ME 04614 | 2011-05-03 |
| 1992002554 | Lorinda L Toscas | Acupuncturist | 154 Ellsworth Road, Blue Hill, ME 04614 | 2011-02-17 |
| 1417180944 | Joanne Rauscher | Physical Therapist | 82 Water St., Blue Hill, ME 04614 | 2009-09-01 |
| 1043444102 | Washington Hancock Community Agency | Community/Behavioral Health | 118 Ellsworth Road, Blue Hill, ME 04614 | 2009-05-05 |
| 1669614541 | Sarah Jean De Preter | Chiropractor | 20 E. Blue Hill Road, Blue Hill, ME 04614 | 2009-03-24 |
| 1164669263 | Wellness Chiropractic P.c | Chiropractor | 20 East Blue Hill Rd., Blue Hill, ME 04614 | 2009-01-12 |
| 1538381892 | School Union 93 | Local Education Agency (LEA) | 20 Hinkley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1962624221 | School Union 93 | Local Education Agency (LEA) | 20 Hinckley Ridge Road, Blue Hill, ME 04614 | 2007-05-03 |
| 1891916821 | Walter Ross Greenlaw Jr. | Dentist | 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614 | 2007-05-01 |
| Find all providers in zip 04614 | ||||
| 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 |
|---|---|---|---|---|
| 1891916821 | Walter Ross Greenlaw Jr. | Dentist | 120 South Street, Blue Hill Peninsula Dental, Blue Hill, ME 04614 | 2007-05-01 |
| 1831291236 | Juan R Aponte | Dentist | 292 South Street, Blue Hill, ME 04614 | 2006-09-05 |
| 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.