Midcoast Family Dentistry

LBN: Randal Joseph Thivierge
Midcoast Family Dentistry is an health care organization with primary practice located at 625 Rockland St , Rockport ME 04856-5320. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Customized Equipment. Dental Providers / General Practice is the primary health care specialty. Randal Joseph Thivierge can be contacted via phone (207) 236-3100, or through Lavoie, Jody L via phone (207) 236-3100.

Contact Information

Primary practice address
625 Rockland St Rockport ME 04856-5320
Phone: (207) 236-3100
Fax: (207) 236-8380
Website:
Map and Directions
Authorized official contact:
Name: Lavoie, Jody L
Phone: (207) 236-3100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3037 Maine
Suppliers / Customized Equipment 332BC3200X 3037 Maine

Profile Details

NPI number 1124327564
LBN Legal business name Randal Joseph Thivierge
DBA Doing business as Midcoast Family Dentistry
Authorized official Lavoie, Jody L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2011
Last updated Nov 1st, 2011 - about 15 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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