Bangor Family Dentistry

LBN: Bangor Family Dentistry
Bangor Family Dentistry is an health care organization with primary practice located at 83 Ridgewood Dr , Bangor ME 04401-2652. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bangor Family Dentistry can be contacted via phone (207) 947-4767, or through Carreira, Mark L via phone (207) 947-4767.

Contact Information

Primary practice address
83 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 947-4767
Fax: (207) 947-7112
Website:
Map and Directions
Authorized official contact:
Name: Carreira, Mark L D.M.D., D.D.S.
Phone: (207) 947-4767

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2098 Maine

Profile Details

NPI number 1457360562
LBN Legal business name Bangor Family Dentistry
DBA Doing business as
Authorized official Carreira, Mark L D.M.D., D.D.S.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated May 4th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457360562 NPPES
Maine MEDICAID 104880000
Maine Other 828257

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