COSMETIC & GENERAL DENTISTRY OF WINTHROP NPI 1407029184

NPI Information

NPI: 1407029184
Provider Name: COSMETIC & GENERAL DENTISTRY OF WINTHROP
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
28 OLD WESTERN AVE
WINTHROP, ME
ZIP 04364
Phone: (207) 377-6958
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COSMETIC & GENERAL DENTISTRY OF WINTHROP is a dental clinic center in Winthrop, ME. COSMETIC & GENERAL DENTISTRY OF WINTHROP NPI is 1407029184. The provider is registered as an organization entity type.

The provider's business location address is:

28 OLD WESTERN AVE
WINTHROP, ME
ZIP 04364-060
Phone: (207) 377-6958
Fax: (207) 377-4349

The provider's authorized official is Jay R Wietecha .
The authorized official title is Owner and has the following contact phone number (207) 377-6958.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	2556	MAINE	No
2	261QD0000X	Clinic/Center	Dental	3627	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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