SANFORD FAMILT DENTAL, LLC (NPI# 1427390491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427390491 |
| Entity Type | Organization |
| Organization Name | SANFORD FAMILT DENTAL, LLC |
| Practice Address |
11 Daigle Ln Suite A Sanford ME 04073-4173 |
| Practice Telephone | 2073241345 |
| Mailing Telephone | 2073241345 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | DR. DEREK WAYNE JONES (MEMBER) |
| Authorized Official Telephone | 2073241345 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN4290 | ME | Ambulatory Health Care Facilities |
| Street Address |
11 DAIGLE LN SUITE A |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629017496 | Jeff W Daigle | Dentist | 11 Daigle Ln, Suite A, Sanford, ME 04073-4173 | 2006-06-06 |
| 1699909614 | Misty Killeen | Dental Hygienist | 11 Daigle Ln, Suite A, Sanford, ME 04073-4173 | 2009-05-05 |
| 1740222165 | Terry Martinetti | Dentist | 11 Daigle Ln, Suite A, Sanford, ME 04073-4173 | 2006-06-11 |
| 1114969821 | Jeff W. Daigle D.d.s., P.a. | Dentist | 11 Daigle Ln, Suite A, Sanford, ME 04073-4173 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245593722 | Sanford Gentle Dentistry | Clinic/Center | 233 Bellagio Cir, Sanford, FL 32771-5001 | 2012-06-20 |
| 1548542632 | First Impressions Dental LLP | Clinic/Center | 15 W Elm St, Sanford, ME 04073-3915 | 2011-09-14 |
| 1548495591 | Rinehartdental | Clinic/Center | 1145 Rinehart Rd, Sanford, FL 32771 | 2009-05-20 |
| 1235116724 | R Kelly Faulk Jr Dds Pa | Clinic/Center | 1806 Doctors Dr, Sanford, NC 27330 | 2005-12-27 |
| 1013164185 | Glynda R. Mcconville, Dds, Pa | Clinic/Center | 1129 Carthage St, Sanford, NC 27330-4162 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.