Active NPIOrganization

County Roots Childrens Dentistry LLC

Dentist in Presque Isle, Maine

NPI Number1689494213
Practice location
181 Academy St Ste 4, Presque Isle, ME 04769-3178
Fax
207-512-1702
Last updated
October 17, 2024

County Roots Childrens Dentistry LLC is a healthcare organization based in Presque Isle, ME. County Roots Childrens Dentistry LLC practices in Presque Isle, ME. The NPI Number for County Roots Childrens Dentistry LLC is 1689494213. The current practice location address for County Roots Childrens Dentistry LLC is 181 Academy St Ste 4, Presque Isle, ME 04769-3178 and can be reached out via phone at 207-462-4767 and via fax at 207-512-1702.

Provider Profile Details

NPI Number
1689494213
Provider Name
County Roots Childrens Dentistry LLC
Provider Entity Type
Organization
Address
181 Academy St Ste 4, Presque Isle, ME 04769-3178
Phone Number
207-462-4767
Fax Number
207-512-1702
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Dr. Erik Arthur Johnson, DMD · Pediatric Dentist · 207-551-3304
Provider Enumeration Date
October 17, 2024
Last Update Date
October 17, 2024
Certification Date
October 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Academy St Ste 4
Presque Isle, ME 04769-3178
State
Maine
Zip
04769-3178
Phone Number
207-462-4767
Fax Number
207-512-1702
Presque Isle, ME 04769Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 4197
Presque Isle, ME 04769
City
Presque Isle
State
ME
Zip
04769
Phone Number
207-462-4767
Fax Number
207-512-1702

License Information

Taxonomy
Dentist · 122300000X · 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 County Roots Childrens Dentistry LLC?

The NPI number of County Roots Childrens Dentistry LLC is 1689494213. It was assigned on October 17, 2024 and is currently active in the NPPES registry.

What is the specialty of County Roots Childrens Dentistry LLC?

County Roots Childrens Dentistry LLC is registered under the primary taxonomy Dentist (code 122300000X).

Where does County Roots Childrens Dentistry LLC practice?

The practice location is 181 Academy St Ste 4, Presque Isle, ME 04769-3178. The office can be reached at 207-462-4767 (phone) or 207-512-1702 (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 1689494213 directly on the NPPES registry website.

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