Active NPIOrganization

Cosmetic & General Dentistry Of Winthrop

Clinic/Center, Dental in Winthrop, Maine

NPI Number1407029184
Practice location
28 Old Western Ave, Winthrop, ME 04364-4060
Fax
207-377-4349
Last updated
April 2, 2008

Cosmetic & General Dentistry Of Winthrop is a healthcare organization based in Winthrop, ME. Cosmetic & General Dentistry Of Winthrop practices in Winthrop, ME. The NPI Number for Cosmetic & General Dentistry Of Winthrop is 1407029184 and holds a License No. 2556 (ME). The current practice location address for Cosmetic & General Dentistry Of Winthrop is 28 Old Western Ave, Winthrop, ME 04364-4060 and can be reached out via phone at 207-377-6958 and via fax at 207-377-4349.

Provider Profile Details

NPI Number
1407029184
Provider Name
Cosmetic & General Dentistry Of Winthrop
Provider Entity Type
Organization
Address
28 Old Western Ave, Winthrop, ME 04364-4060
Phone Number
207-377-6958
Fax Number
207-377-4349
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Jay R Wietecha, DMD · Owner · 207-377-6958
Provider Enumeration Date
April 2, 2008
Last Update Date
April 2, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
28 Old Western Ave
Winthrop, ME 04364-4060
State
Maine
Zip
04364-4060
Phone Number
207-377-6958
Fax Number
207-377-4349
Winthrop, ME 04364Get directions →

Provider Business Mailing Address Details

Address
28 Old Western Ave
Winthrop, ME 04364-4060
City
Winthrop
State
ME
Zip
04364-4060
Phone Number
207-377-6958
Fax Number
207-377-4349

License Information

License Number (1)
2556
License State (1)
ME
Taxonomy (1)
Clinic/Center, Dental · 261QD0000X
License Number (2)
3627
License State (2)
ME
Taxonomy (2)
Clinic/Center, Dental · 261QD0000X · 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 Cosmetic & General Dentistry Of Winthrop?

The NPI number of Cosmetic & General Dentistry Of Winthrop is 1407029184. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Cosmetic & General Dentistry Of Winthrop?

Cosmetic & General Dentistry Of Winthrop is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in ME under license number 2556.

Where does Cosmetic & General Dentistry Of Winthrop practice?

The practice location is 28 Old Western Ave, Winthrop, ME 04364-4060. The office can be reached at 207-377-6958 (phone) or 207-377-4349 (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 1407029184 directly on the NPPES registry website.

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