Active NPIOrganization

Bangor Family Dentistry

Dentist, General Practice in Bangor, Maine

NPI Number1457360562
Practice location
83 Ridgewood Dr, Bangor, ME 04401-2652
Fax
207-947-7112
Last updated
May 4, 2018

Bangor Family Dentistry is a healthcare organization based in Bangor, ME. Bangor Family Dentistry practices in Bangor, ME. The NPI Number for Bangor Family Dentistry is 1457360562 and holds a License No. 2098 (ME). The current practice location address for Bangor Family Dentistry is 83 Ridgewood Dr, Bangor, ME 04401-2652 and can be reached out via phone at 207-947-4767 and via fax at 207-947-7112.

Provider Profile Details

NPI Number
1457360562
Provider Name
Bangor Family Dentistry
Provider Entity Type
Organization
Address
83 Ridgewood Dr, Bangor, ME 04401-2652
Phone Number
207-947-4767
Fax Number
207-947-7112
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Mark L Carreira, DMD, DDS · Owner · 207-947-4767
Provider Enumeration Date
August 7, 2006
Last Update Date
May 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
83 Ridgewood Dr
Bangor, ME 04401-2652
City
Bangor
State
Maine
Zip
04401-2652
Phone Number
207-947-4767
Fax Number
207-947-7112
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
83 Ridgewood Dr
Bangor, ME 04401-2652
City
Bangor
State
ME
Zip
04401-2652
Phone Number
207-947-4767
Fax Number
207-947-7112

License Information

License Number
2098
License State
ME
Taxonomy
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 Bangor Family Dentistry?

The NPI number of Bangor Family Dentistry is 1457360562. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Bangor Family Dentistry?

Bangor Family Dentistry is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 2098.

Where does Bangor Family Dentistry practice?

The practice location is 83 Ridgewood Dr, Bangor, ME 04401-2652. The office can be reached at 207-947-4767 (phone) or 207-947-7112 (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 1457360562 directly on the NPPES registry website.

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