COSMETIC & GENERAL DENTISTRY OF WINTHROP (NPI# 1407029184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407029184 |
| Entity Type | Organization |
| Organization Name | COSMETIC & GENERAL DENTISTRY OF WINTHROP |
| Practice Address |
28 Old Western Ave Winthrop ME 04364-4060 |
| Practice Telephone | 2073776958 |
| Practice Fax Number | 2073774349 |
| Mailing Telephone | 2073776958 |
| Mailing Fax Number | 2073774349 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | DR. JAY R WIETECHA (OWNER) |
| Authorized Official Telephone | 2073776958 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
2556 | ME | Ambulatory Health Care Facilities |
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3627 | ME | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851591630 | Cosmetic & General Dentistry of Winthrop | Dentist | 28 Old Western Ave, Winthrop, ME 04364-4060 | 2007-07-20 |
| Street Address |
28 OLD WESTERN AVE |
| City | WINTHROP |
| State | ME |
| Zip Code | 04364-4060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033169958 | Robert Sands | Dentist | 28 Old Western Ave, Winthrop, ME 04364-4060 | 2006-05-11 |
| 1851591630 | Cosmetic & General Dentistry of Winthrop | Dentist | 28 Old Western Ave, Winthrop, ME 04364-4060 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811408446 | Kimberly Morgan Fichthorn | Dental Hygienist | 168 Main St Ste C, Winthrop, ME 04364 | 2017-10-23 |
| 1609266154 | Darcia M Landers | Nurse's Aide | 32 Clark Street, Apt A, Winthrop, ME 04364 | 2015-02-04 |
| 1679971758 | Employment Happens | Specialist | 9 Pamela Dr, Winthrop, ME 04364 | 2014-12-05 |
| 1497087340 | Lisa Boulet | Dental Hygienist | 676 Old Lewiston Rd, Winthrop, ME 04364 | 2010-02-03 |
| 1508070426 | Sara Mcclure | Physical Therapist | 18a High Street, Wintrhop, ME 04364 | 2007-05-09 |
| 1467678854 | Westwind House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Gayton Lane, Winthrop, ME 04364 | 2007-04-17 |
| 1013096676 | Michael Alton Hoyt | Chiropractor | 1354 Us Rt 202, Winthrop, ME 04364 | 2006-11-03 |
| 1427159417 | Steven J Feldman | Social Worker | Therapy Corner 1318 Route 22, Winthrop, ME 04364 | 2006-09-25 |
| 1699736330 | Susan Rand Phillips | Physical Therapist | 18a High St, Winthrop, ME 04364 | 2006-03-31 |
| 1508854647 | Catharine Anne Heffernan | Advanced Practice Midwife | 149 Main St, Ste 2a, Winthrop Family Practice - Mgmc Midwifery Services, Winthrop, ME 04364 | 2005-10-12 |
| Find all providers in zip 04364 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700203106 | Varinos Dental Associates of Winthrop | Clinic/Center | 185 Hermon St, Winthrop, MA 02152-3024 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
| 1174184253 | Gorham Village Dental LLC | Clinic/Center | 77 South St, Gorham, ME 04038-1715 | 2019-06-27 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
| 1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
| 1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
| 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.