Active NPIOrganization

Randal Joseph Thivierge

Dentist, General Practice in Rockport, Maine

NPI Number1124327564
Practice location
625 Rockland St, Rockport, ME 04856-5320
Fax
207-236-8380
Last updated
November 1, 2011

Randal Joseph Thivierge is a healthcare organization based in Rockport, ME. Randal Joseph Thivierge practices in Rockport, ME. The NPI Number for Randal Joseph Thivierge is 1124327564 and holds a License No. 3037 (ME). The current practice location address for Randal Joseph Thivierge is 625 Rockland St, Rockport, ME 04856-5320 and can be reached out via phone at 207-236-3100 and via fax at 207-236-8380.

Provider Profile Details

NPI Number
1124327564
Provider Name
Randal Joseph Thivierge
Provider Entity Type
Organization
Address
625 Rockland St, Rockport, ME 04856-5320
Phone Number
207-236-3100
Fax Number
207-236-8380
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Ms. Jody L Lavoie · Operations Manager · 207-236-3100
Other Names
Midcoast Family Dentistry (Doing Business As)
Provider Enumeration Date
March 24, 2011
Last Update Date
November 1, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
625 Rockland St
Rockport, ME 04856-5320
State
Maine
Zip
04856-5320
Phone Number
207-236-3100
Fax Number
207-236-8380
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
625 Rockland St
Rockport, ME 04856-5320
City
Rockport
State
ME
Zip
04856-5320
Phone Number
207-236-3100
Fax Number
207-236-8380

License Information

License Number (1)
3037
License State (1)
ME
License Number (2)
3037
License State (2)
ME
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randal Joseph Thivierge?

The NPI number of Randal Joseph Thivierge is 1124327564. It was assigned on March 24, 2011 and is currently active in the NPPES registry.

What is the specialty of Randal Joseph Thivierge?

Randal Joseph Thivierge is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3037.

Where does Randal Joseph Thivierge practice?

The practice location is 625 Rockland St, Rockport, ME 04856-5320. The office can be reached at 207-236-3100 (phone) or 207-236-8380 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124327564 directly on the NPPES registry website.

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