SEBASTICOOK FAMILY DOCTORS NPI 1396026803

NPI Information

  • NPI: 1396026803
  • Provider Name: SEBASTICOOK FAMILY DOCTORS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • CLIA Number: 20D2309705
  • Address: 453 MAIN ST
    PITTSFIELD, ME
    ZIP 04967
  • Phone: (207) 355-3505

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NPI Details

SEBASTICOOK FAMILY DOCTORS is a general practice dentist in Pittsfield, 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. SEBASTICOOK FAMILY DOCTORS NPI is 1396026803. The provider is registered as an organization entity type.

The provider's business location address is:

453 MAIN ST
PITTSFIELD, ME
ZIP 04967-310
Phone: (207) 355-3505
Fax: (207) 474-8899

The provider's authorized official is Robin L Winslow .
The authorized official title is Ceo and has the following contact phone number (207) 368-5189.

The CLIA number assigned to this NPI record is 20D2309705 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2011 and was last updated on 9/14/2013.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
21223G0001XDentistGeneral PracticeYes

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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