DR. DENNIS BO SHIM (NPI# 1619497419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619497419 |
| Entity Type | Individual |
| Full Name | DR. DENNIS BO SHIM |
| Credential | DMD |
| Practice Address |
339 Main St Saco ME 04072-1514 |
| Practice Telephone | 2072846809 |
| Mailing Telephone | 2072846809 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN4574 | ME | Dental Providers |
| Street Address |
339 MAIN ST |
| City | SACO |
| State | ME |
| Zip Code | 04072-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750943072 | Min Su Kwak | Dentist | 339 Main St, Saco, ME 04072-1514 | 2019-07-08 |
| 1730481011 | Grace E La | Dentist | 339 Main St, Gentle Dental, Saco, ME 04072-1514 | 2010-11-19 |
| 1306871132 | Conrad R Verrier | Dentist | 339 Main St, Saco, ME 04072-1514 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| 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 |
|---|---|---|---|---|
| 1548278740 | Tyler J Ingersoll | Dentist | 323 Main Street, Saco, ME 04072 | 2006-08-03 |
| 1750943072 | Min Su Kwak | Dentist | 339 Main St, Saco, ME 04072-1514 | 2019-07-08 |
| 1063893329 | Sanyukta Gandhi | Dentist | 323 Main St, Saco, ME 04072-1514 | 2015-06-12 |
| 1932213998 | Biddeford Saco Dental Assoc | Dentist | 323 Main Street, Saco, ME 04072 | 2006-08-18 |
| 1366450462 | James E Kelley | Dentist | 323 Main Street, Saco, ME 04072 | 2006-08-04 |
| 1306871132 | Conrad R Verrier | Dentist | 339 Main St, Saco, ME 04072-1514 | 2006-07-11 |
| 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.