KENNEBEC VALLEY DENTAL ARTS (NPI# 1710284518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710284518 |
| Entity Type | Organization |
| Organization Name | KENNEBEC VALLEY DENTAL ARTS |
| Practice Address |
51 Western Ave Suite 3b Fairfield ME 04937-1382 |
| Practice Telephone | 2072386235 |
| Practice Fax Number | 2072386236 |
| Mailing Telephone | 2072386235 |
| Mailing Fax Number | 2072386236 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Authorized Official Name | TRACEY S PATTEN (DENTIST/OWNER) |
| Authorized Official Telephone | 2072386235 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
51 WESTERN AVE SUITE 3B |
| City | FAIRFIELD |
| State | ME |
| Zip Code | 04937-1382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821274564 | Tracey S Glinko | Dentist | 51 Western Ave, Suite 3b, Fairfield, ME 04937-1382 | 2008-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1396144002 | Debra Ann Doody | Dental Hygienist | 294 Rt 201 - Skowhegon Road, Fairfield, ME 04937 | 2014-08-19 |
| 1922011840 | Robert Carroll Turner | Dentist | 294 Route 201, Fairfield, ME 04937 | 2006-08-14 |
| 1932152279 | Eastern Maine Homecare | Home Health | 24 Lawrence Drive, Fairfield, ME 04937 | 2006-05-18 |
| 1053387936 | Michael E Clark | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-02-28 |
| 1235770454 | Ronald Allan Dyer | Registered Nurse | 113 Main Street, Fairfield, ME 04937 | 2019-09-30 |
| 1780605550 | Jose Antonio Ramirez | Orthopaedic Surgery | 107 First Park Drive, Oakland, ME 04937 | 2006-07-21 |
| 1043274046 | James Earl Dunlap | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-04-14 |
| 1083942684 | Christine Marie Stevens-sheehan | Counselor | 66 Western Ave, Fairfield, ME 04937-0378 | 2009-11-20 |
| 1295953743 | Tania Coy Gardiner Hassard | Optometrist | 30 Main St, Fairfield, ME 04937-1120 | 2007-04-22 |
| Find all providers in zip 04937 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184195885 | Megha Jadhav Dmd, Inc | Clinic/Center | Megha Jadhav Dmd Inc, 1261 Travis Blvd Ste 160, Fairfield, CA 94533-3642 | 2018-12-06 |
| 1730470006 | County of Solano | Clinic/Center | 275 Beck Ave # Ms 5210, Fairfield, CA 94533-6804 | 2011-04-21 |
| 1083845275 | County of Solano | Clinic/Center | 2201 Courage Drive, Fairfield, CA 94533-6717 | 2009-08-05 |
| 1568471654 | James C. Bawden IIi, D.d.s. Inc. | Clinic/Center | 1700 Pennsylvania Ave, Suite D., Fairfield, CA 94533-3588 | 2006-08-07 |
| 1720579485 | Cheng Zhu Dmd Dental Group Inc | Clinic/Center | 2201 Boynton Ave, Fairfield, CA 94533 | 2018-05-29 |
| 1912496472 | Navid Mehranpour Dds, Dental Corp. | Clinic/Center | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2018-05-09 |
| 1720510001 | Dent-al Smiles, LLC | Clinic/Center | 1115 Hicks Blvd, # 3, Fairfield, OH 45014-2889 | 2017-03-28 |
| 1457592958 | Mark Choi Dds Inc | Clinic/Center | 2500 N Texas St, Suite C, Fairfield, CA 94533-1639 | 2009-03-12 |
| 1689879447 | Fairfield Family Dental Care | Clinic/Center | 271 Us Highway 46, Suite A101, Fairfield, NJ 07004-2440 | 2007-06-20 |
| 1508078817 | County of Solano | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2007-05-07 |
| Find all providers in FAIRFIELD | ||||
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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.