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PENOBSCOT COMMUNITY HEALTH CENTER NPI 1720535651


NPI Information

NPI: 1720535651
Provider Name: PENOBSCOT COMMUNITY HEALTH CENTER

Doing Business As: DOWNEAST SCHOOL

Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 20D2191779

Address:
100 MOOSEHEAD BLVD
BANGOR, ME
ZIP 04401
Phone: (207) 992-2152
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PENOBSCOT COMMUNITY HEALTH CENTER is a dentist in Bangor, ME. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. PENOBSCOT COMMUNITY HEALTH CENTER NPI is 1720535651. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Downeast School.

The provider's business location address is:

100 MOOSEHEAD BLVD
BANGOR, ME
ZIP 04401
Phone: (207) 992-2152

The provider's authorized official is Lori L. Dwyer .
The authorized official title is President & Ceo and has the following contact phone number (207) 992-9200.

The CLIA number assigned to this NPI record is 20D2191779 - other - dental clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 8/6/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDEN4484MAINEYes

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: 4/28/2024

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