COASTAL MAINE PEDIATRIC DENTISTRY (NPI# 1386931376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386931376 |
| Entity Type | Organization |
| Organization Name | COASTAL MAINE PEDIATRIC DENTISTRY |
| Other Organization Name | COASTAL MAINE PEDIATRIC DENTISTRY |
| Practice Address |
84 Baribeau Dr Brunswick ME 04011-3218 |
| Practice Telephone | 2076074197 |
| Mailing Telephone | 2076074197 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | DR. EMILY B SCHOLL (OWNER) |
| Authorized Official Telephone | 2076074197 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4026 | ME | Dental Providers |
| Other Name | Type Code |
|---|---|
| Coastal Maine Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
84 BARIBEAU DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225222698 | Emily B Scholl | Dentist | 80 Pleasant St, Brunswick, ME 04011-2203 | 2007-08-29 |
| 1568485019 | Malcolm Stuart Foster | Dentist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632997 | Dirigo Pediatric Dentistry | Dentist | 701 Us Route 1 Ste 3, Yarmouth, ME 04096-6927 | 2019-01-09 |
| 1467835678 | Mainely Kids & Teens, LLC | Dentist | One Cumberland Pl, Ste 116, Bangor, ME 04401-5083 | 2015-07-07 |
| 1023131679 | Jonathan D Shenkin | Dentist | 792 Stillwater Ave, Bangor, ME 04401-3617 | 2007-04-09 |
| 1366574675 | Just for Kids Pediatric Dentistry, Pa | Dentist | 313 Us Route 1, Scarborough, ME 04074-9701 | 2007-03-12 |
| 1902940364 | York County Pediartic Dentistry, Pa | Dentist | 5 Webhannet Pl, Suite 1, Kennebunk, ME 04043-7275 | 2007-02-19 |
| 1215093018 | John M Willis | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2006-12-28 |
| 1841380037 | Linda A Eberhardt | Dentist | 24 Penn Plaza, Bangor, ME 04401 | 2006-10-16 |
| 1194810143 | Sheila L Brijade | Dentist | 1048 Union Street, Bangor, ME 04401 | 2006-10-04 |
| 1083650436 | Susan J Russett-collett | Dentist | 888 Brighton Ave, Portland, ME 04102-1004 | 2006-06-22 |
| 1801433750 | Mainely Kids & Teens, LLC | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2019-12-10 |
| 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.