JESSICA THAYER


Address: 1048 Union St, Bangor, ME 04401-3016
Phone: 2074048200

JESSICA THAYER (NPI# 1427537513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427537513
Entity Type Individual
Full Name JESSICA THAYER
Credential DMD
Practice Address 1048 Union St
Bangor
ME 04401-3016
Mailing Address 1090 E Weldon Ave
Phoenix
AZ 85014-5046
Practice Telephone 2074048200
Practice Fax Number 2079470435
Mailing Telephone 9283014442
Mailing Fax Number 5058994804
Enumeration Date 2018-08-09
Last Update Date 2019-07-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
D009928 AZ Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME STATE LICENSE DEN4740 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
5757 W Thunderbird Rd Ste E451, Glendale, AZ 853064645 6023457959

Other Providers JESSICA THAYER

NPI Name Taxonomy Address Enumeration
1881153195 Jessica Thayer Student in an Organized Health Care Education/Training Program 101 Stadium Dr, Morgantown, WV 26506-7911 2019-03-16
1720440845 Jessica Nichole Thayer Student in an Organized Health Care Education/Training Program 3401 Civic Center Blvd, Department of Ophthalmology, Philadelphia, PA 19104-4319 2016-03-28
1063801306 Jessica Thayer Community Health Worker 721 W Maple St, Rawlins, WY 82301-5447 2015-01-09

Office Location

Street Address 1048 UNION ST
City BANGOR
State ME
Zip Code 04401-3016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831282771 Penobscot Community Health Center Family Medicine 1048 Union St, Suite 5, Bangor, ME 04401-8600 2006-10-02
1023634979 Arlene A Asante Dentist 1048 Union St, Bangor, ME 04401-3016 2020-06-16
1871116319 Thomas Halpin Dentist 1048 Union St, Bangor, ME 04401-3016 2020-05-19
1417570011 Akeia Cierra Everett Dentist 1048 Union St, Bangor, ME 04401-3016 2020-05-19
1629601117 Precious Bieni Dentist 1048 Union St, Bangor, ME 04401-3016 2020-02-13
1225684178 Ali Seena Yazdani Dentist 1048 Union St, Bangor, ME 04401-3016 2019-08-16
1952969321 Francisco Gomez-chaves Dentist 1048 Union St, Bangor, ME 04401-3016 2019-05-31
1518525211 Michael J Neveu Dentist 1048 Union St, Bangor, ME 04401-3016 2019-05-29
1568954220 Luke A. Harden Dentist 1048 Union St, Bangor, ME 04401 2018-05-30
1467944124 Frank Sapere Dentist 1048 Union St, Bangor, ME 04401 2018-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992040083 Brad J. Woodford Dentist 570 Stillwater Ave, Bangor, ME 04401-3522 2012-11-30
1972703981 Michal Freda Kleinlerer Dentist 72 Broadway, #a, Bangor, ME 04401-5202 2007-07-19
1487850475 Stephen Craig Paul Dentist 20 Penn Plaza, Suite 31, Bangor, ME 04401 2007-06-26
1851836001 Bangor Braces PC Dentist 570 Stillwater Ave, Bangor, ME 04401-3522 2016-12-27
1306221528 Jameson L Hardy Dentist 766 Stillwater Ave, Bangor, ME 04401-3616 2015-07-29
1558552489 Dr Stephen C Paul Dentist 20 Penn Plz, Suite 31, Bangor, ME 04401-3620 2007-08-06
1992712582 G Kent Tableman Dentist 766 Stillwater Ave, Bangor, ME 04401-3616 2006-08-03
1447268073 Associates In Orthodontics, P.a. Dentist 766 Stillwater Ave, Bangor, ME 04401-3616 2006-08-03
1629085204 Louis J Hardy Dentist 766 Stillwater Ave, Bangor, ME 04401-3616 2006-08-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881209641 Candid Maine PC Dentist 415 Congress St Ste 201, Portland, ME 04101-3500 2020-09-09
1306497094 Smile Clinic, LLC Dentist 163 Fore St Ste A, Portland, ME 04101-6806 2019-09-24
1316413974 Brian David Patterson Dentist 11 Middle St Ste 1, Augusta, ME 04330-5210 2018-10-22
1891236766 Corey J. Teguis Dmd Pa Dentist 28 W Cole Rd Ste 102, Biddeford, ME 04005-9428 2017-03-13
1760787501 Darryl Simeon Zeleniak Dentist 132 State St, Augusta, ME 04330-5615 2011-01-25
1083931141 Anthony L Liberatore Dentist 219 Chamberlain St, Brewer, ME 04412-1406 2010-04-29
1568785798 Mark Edmund Nadeau Dentist 63 Portland Rd, Kennebunk, ME 04043-6669 2010-03-02
1326376567 Eugene H. Glad D.m.d. P.a. Dentist 11 Middle St, Suite 1, Augusta, ME 04330-5210 2009-11-30
1124233887 Adult & Pediatric Orthodontics, Pa Dentist 10 Forest Falls Dr Stop 5, Yarmouth, ME 04096-6936 2007-05-14
1164637211 Edward R. Zanca D.m.d., P.a. Dentist 5 Childrens Way, Rockport, ME 04856-5746 2007-05-11
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Competitor

Search similar providers

City BANGOR
Zip Code 04401

Improve Information

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Dataset Information

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.

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