HOLDEN DENTAL CENTER, P.A. (NPI# 1356496244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356496244 |
Entity Type | Organization |
Organization Name | HOLDEN DENTAL CENTER, P.A. |
Other Organization Name | JOHN T. HAUGE, D.M.D. |
Practice Address |
498 Essex St #103 Bangor ME 04401-3990 |
Practice Telephone | 2079902727 |
Practice Fax Number | 2079902729 |
Mailing Telephone | 2079902727 |
Mailing Fax Number | 2079902729 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2011-01-25 |
Authorized Official Name | DR. JOHN THOMAS HAUGE (PRESIDENT) |
Authorized Official Telephone | 2079902727 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3319 | ME | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
John T. Hauge, D.M.D. | Former Legal Business Name - Organization |
Street Address |
498 ESSEX ST #103 |
City | BANGOR |
State | ME |
Zip Code | 04401-3990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962446724 | Northeast Neurosurgery, P.a. | Neurological Surgery | 498 Essex St, Suite 104, Bangor, ME 04401-3990 | 2006-06-15 |
1801140660 | Spectrum Medical Group, P.a. | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2012-11-01 |
1316225923 | Suzanne Bourque | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2011-07-31 |
1770888547 | John Thomas Hauge | Dentist | 498 Essex St, #103, Bangor, ME 04401-3990 | 2011-01-25 |
1457520827 | Neurologic Diagnostic Services of Eastern Maine, P.a. | Physiological Laboratory | 498 Essex St, Bangor, ME 04401-3990 | 2008-02-29 |
1346439767 | Sally E K Kirkpatrick | Psychiatry & Neurology | 498 Essex St, Bangor, ME 04401-3990 | 2007-10-22 |
1093900441 | Mirna Hajjar | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2007-09-10 |
1922292945 | Markos Poulopoulos | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2007-09-03 |
1578601993 | Francis I Kittredge Jr. | Psychiatry & Neurology | 498 Essex St, Bangor, ME 04401-3990 | 2007-02-01 |
1811919269 | James W Sears | Psychiatry & Neurology | 498 Essex St, Suite 105, Bangor, ME 04401-3990 | 2006-07-24 |
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Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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1750615399 | Buxton Denture Clinic | Clinic/Center | 12 Stillwater Ave, Bangor, ME 04401-3984 | 2009-09-30 |
1356537096 | Katahdin Valley Health Center | Clinic/Center | 489 State St, Bangor, ME 04401-6616 | 2007-09-17 |
1972706380 | W W Wibby Dds Pa | Clinic/Center | 20 Bellevue Ave, Bangor, ME 04401-5618 | 2007-06-06 |
1851593669 | Creative Dental Solutions LLC, P.a. | Clinic/Center | 1407 Broadway, Bangor, ME 04401-2403 | 2007-06-04 |
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1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
1174184253 | Gorham Village Dental LLC | Clinic/Center | 77 South St, Gorham, ME 04038-1715 | 2019-06-27 |
1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
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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.