ERON CHARLES ALDRIDGE MD DMD NPI 1790911121

NPI Information

  • NPI: 1790911121
  • Provider Name: ERON CHARLES ALDRIDGE, MD, DMD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8 PENN PLZ
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 852-9597

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NPI Details

Eron Charles Aldridge, MD, DMD is an oral and maxillofacial surgery dentist in Bangor, ME. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Eron Charles Aldridge, MD, DMD NPI is 1790911121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8 PENN PLZ
BANGOR, ME
ZIP 04401-620
Phone: (207) 852-9597
Fax: (207) 947-5132

The NPI 1790911121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/29/2009 and was last updated on 9/8/2020.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223S0112XDentistOral and Maxillofacial Surgery8815ARIZONAYes

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: 3/30/2025

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