RANDAL JOSEPH THIVIERGE NPI 1124327564

NPI Information

  • NPI: 1124327564
  • Provider Name: RANDAL JOSEPH THIVIERGE
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: MIDCOAST FAMILY DENTISTRY
  • Address: 625 ROCKLAND ST
    ROCKPORT, ME
    ZIP 04856
  • Phone: (207) 236-3100

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NPI Details

RANDAL JOSEPH THIVIERGE is a general practice dentist in Rockport, ME. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RANDAL JOSEPH THIVIERGE NPI is 1124327564. The provider is registered as an organization entity type.
The provider Is Doing Business As Midcoast Family Dentistry.

The provider's business location address is:

625 ROCKLAND ST
ROCKPORT, ME
ZIP 04856-320
Phone: (207) 236-3100
Fax: (207) 236-8380

The provider's authorized official is Jody L Lavoie .
The authorized official title is Operations Manager and has the following contact phone number (207) 236-3100.

The enumeration date for this NPI number is 3/24/2011 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment3037MAINENo
21223G0001XDentistGeneral Practice3037MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16529680001MEDICARE NSCMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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