ROBERT E. ERICKSON, DMD, PLLC


Address: 12 Stillwater Ave Ste 6, Bangor, ME 04401-3984
Phone: (207) 992-2060

ROBERT E. ERICKSON, DMD, PLLC (NPI# 1487181723) 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) 1487181723
Entity Type Organization
Organization Name ROBERT E. ERICKSON, DMD, PLLC
Other Organization Name ERICKSON'S EXTRACTION AND DENTURE CENTER
Practice Address 12 Stillwater Ave Ste 6
Bangor
ME 04401-3984
Practice Telephone (207) 992-2060
Practice Fax Number 2072620424
Mailing Telephone 2079922060
Mailing Fax Number 2072620424
Enumeration Date 2017-05-17
Last Update Date 2017-05-17
Authorized Official Name MR. ROBERT E ERICKSON (OWNER)
Authorized Official Telephone 2079922060
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
3214 ME Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Erickson's Extraction and Denture Center Doing Business As Name - Organization

Office Location

Street Address 12 STILLWATER AVE STE 6
City BANGOR
State ME
Zip Code 04401-3984

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 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1356496244 Holden Dental Center, P.a. Clinic/Center 498 Essex St, #103, Bangor, ME 04401-3990 2007-01-24

Providers in the same taxonomy and state

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
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Competitor

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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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