LAWRENCE DAVID BOSSONG (NPI# 1578512729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578512729 |
| Entity Type | Individual |
| Full Name | LAWRENCE DAVID BOSSONG |
| Credential | DDS |
| Practice Address |
80 Baribeau Dr Brunswick ME 04011-3218 |
| Practice Telephone | 2077290933 |
| Practice Fax Number | 2077290671 |
| Mailing Telephone | 2077290933 |
| Mailing Fax Number | 2077290671 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3441 | ME | Dental Providers |
| Street Address |
80 BARIBEAU DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760520662 | Thomas Gerard Rice | Dentist | 80 Baribeau Dr, Brunswick, ME 04011-3218 | 2007-02-02 |
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205186863 | Golden Isles Oral Surgery, L.L.C. | Dentist | 17 Professional Drive, Suite 100, Brunswick, GA 31520-3794 | 2012-09-11 |
| 1316226731 | Richard Jeremy Hammond | Dentist | 1301 Fountain Park Cir, Brunswick, GA 31520 | 2011-08-16 |
| 1265083315 | Sea Pines Oral and Facial Surgery, PC | Dentist | 1301 Fountain Park Cir, Brunswick, GA 31520-4860 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922333202 | John S Largey | Dentist | 885 Union St Ste 225, Bangor, ME 04401-3074 | 2009-10-05 |
| 1790911121 | Eron Charles Aldridge | Dentist | 8 Penn Plz, Bangor, ME 04401-3620 | 2009-05-29 |
| 1669652764 | Bruce Allan Mason | Dentist | 139 Poplar Hill Rd, Turner, ME 04282-3828 | 2007-11-07 |
| 1578771465 | Northern Maine Oral & Facial Surgery Pa | Dentist | 181 Academy Street, Suite #1, Presque Isle, ME 04769-3178 | 2007-05-21 |
| 1588876908 | Grace Thomas | Dentist | 171 Maine Mall Rd, South Portland, ME 04106-2310 | 2007-05-06 |
| 1407070006 | Facial and Oral Surgery Associates | Dentist | 5 Community Dr, Augusta, ME 04330-8087 | 2007-04-13 |
| 1922154095 | Edward August Laga Jr. | Dentist | 175 Academy St, Suite 1, Presque Isle, ME 04769-3103 | 2007-01-25 |
| 1831249648 | John E Royal | Dentist | 97 Beechland Rd., Box 518, Ellsworth, ME 04605 | 2007-01-12 |
| 1609938406 | Henry C Ford | Dentist | 181 Academy St Ste 1, Presque Isle, ME 04769-3178 | 2006-12-15 |
| 1982763801 | Central Maine Oral & Maxillofacial Surgery Associates, Pa | Dentist | 405 Center Street, Auburn, ME 04210 | 2006-12-06 |
| 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.