MIDCOAST ENDODONTICS (NPI# 1013174622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013174622 |
| Entity Type | Organization |
| Organization Name | MIDCOAST ENDODONTICS |
| Practice Address |
1060 Commercial St Suite 2 Rockport ME 04856-3801 |
| Practice Telephone | 2075939345 |
| Mailing Telephone | 2075939345 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | DR. DWIGHT PADDOCK STANLEY (PRESIDENT) |
| Authorized Official Telephone | 2075939345 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DEN4027 | ME | Dental Providers |
| Street Address |
1060 COMMERCIAL ST SUITE 2 |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063510980 | Deborah W Endl | Dentist | 1060 Commercial St, Glen Cove Dental Associates, Pa, Rockport, ME 04856-3801 | 2006-09-21 |
| 1255823043 | Benjamin Lacy | Dentist | 1060 Commercial St, Rockport, ME 04856-3801 | 2018-06-06 |
| 1568697860 | Christina Lynn Tibbetts | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-16 |
| 1124253422 | Tracy Ann Cyr | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-16 |
| 1306070065 | Abby Mae Bellmore | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-11 |
| 1699909515 | Barbara Nadeau | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-06 |
| 1528292588 | Stephanie Vella | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-06 |
| 1639303746 | Elizabeth Powell Depalma | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-05 |
| 1376756569 | Glen Cove Dental Associates, P.a. | Dentist | 1060 Commercial St, Rockport, ME 04856-3801 | 2007-05-07 |
| 1356440200 | Amy L Campbell | Dentist | 1060 Commercial St, Glen Cove Dental Associates, Pa, Rockport, ME 04856-3801 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755651 | Apex Endodontics, LLC | Dentist | 30 Concourse W, Waterville, ME 04901-6007 | 2020-09-22 |
| 1205498870 | Mallick Endodontics | Dentist | 1 Cumberland Pl Ste 202, Bangor, ME 04401-5088 | 2019-07-03 |
| 1194293696 | Topsham Endodontics | Dentist | 275 Bath Rd Ste 6, Brunswick, ME 04011-2671 | 2018-11-02 |
| 1588158299 | Kelly Ann Barbera | Dentist | 6 Wellspring Rd Ste 105, Biddeford, ME 04005-8417 | 2018-06-16 |
| 1295259687 | Southern Maine Endodontics | Dentist | 6 Wellspring Rd Ste E, Biddeford, ME 04005-9415 | 2017-07-28 |
| 1386084564 | Sonja R Evans | Dentist | 82 Coyle St, Portland, ME 04101-1628 | 2013-07-02 |
| 1326276924 | Dental Specialists of Yarmouth, LLC | Dentist | 413 Alred Street, Unit B1a, Park 111, Biddeford, ME 04005 | 2009-06-23 |
| 1780868687 | Dental Specialists of Portland | Dentist | 1355 Congress St, Suite A, Portland, ME 04102-2160 | 2007-12-27 |
| 1811197601 | Dental Specialists of Maine, LLC | Dentist | 1355 Congress St Ste A, Portland, ME 04102-2137 | 2007-07-20 |
| 1437365889 | Jason A Garlock | Dentist | 276 Canco Road, Granite Heights, Portland, ME 04103 | 2007-05-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.