KENNEBEC VALLEY DENTAL COALITION INC (NPI# 1497899165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497899165 |
| Entity Type | Organization |
| Organization Name | KENNEBEC VALLEY DENTAL COALITION INC |
| Other Organization Name | COMMUNITY DENTAL CENTER |
| Practice Address |
2 Evergreen Dr Oakland ME 04963-5364 |
| Practice Telephone | 2078615801 |
| Mailing Telephone | 2078615801 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | MS. JESSICA PELOTTE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2078615801 |
| Authorized Official Credential | AS, BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
ME | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMMUNITY DENTAL CENTER | Doing Business As Name - Organization |
| Waterville Community Dental Center | Doing Business As Name - Organization |
| Street Address |
2 EVERGREEN DR |
| City | OAKLAND |
| State | ME |
| Zip Code | 04963-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879372 | Kailee S Williams | Dentist | 2 Evergreen Dr, Oakland, ME 04963-5364 | 2019-06-11 |
| 1306221486 | Stephen Polley | Physical Therapist | 2 Evergreen Dr, Oakland, ME 04963-5364 | 2015-07-30 |
| 1255716387 | Timothy Adams | Physical Therapist | 2 Evergreen Dr, Oakland, ME 04963-5364 | 2015-07-30 |
| 1104201235 | Susan Bovie | Occupational Therapist | 2 Evergreen Dr, Oakland, ME 04963-5364 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1487105219 | Robin Nicol | Pharmacist | 60 Fairgrounds Marketplace, Skowhegan, ME 04963 | 2016-10-17 |
| 1710255476 | Michelle Hume | Social Worker | 14 Heath St, Oakland, ME 04963 | 2011-12-09 |
| 1720212335 | Maine-ly Elder Care, Inc. | Technician | 28 Center St., Oakland, ME 04963 | 2009-05-11 |
| 1831256478 | Edmund D. Ervin | Internal Medicine | 25 First Park Drive, Ste A, Oakland, ME 04963 | 2007-01-02 |
| 1609943844 | Michael R Nawfel | Dentist | 46b First Park Drive, Oakland, ME 04963 | 2006-11-30 |
| 1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
| 1548366958 | Mid State Eye Associates | Optometrist | 840 Kennedy Memorial Drive, Suite 2, Oakland, ME 04963 | 2006-09-15 |
| 1649249079 | Gary M Chaloult | Nurse Practitioner | 35 S Gage Rd, Oakland, ME 04963 | 2006-03-17 |
| 1013988559 | Michael C. Lemieux | Internal Medicine | 11 Evergreen Dr, Central Maine Heart & Vascular, Waterville, ME 04963 | 2006-02-01 |
| Find all providers in zip 04963 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1528673415 | Stephen M. Lee, Dds | Clinic/Center | 345 9th St Ste 304, Oakland, CA 94607-6523 | 2020-09-09 |
| 1194366492 | Harold K Fung, Dmd,inc | Clinic/Center | 345 9th St Ste 201, Oakland, CA 94607-4206 | 2019-10-08 |
| 1518441237 | Li Qin Dental Practice Inc | Clinic/Center | 320 8th St Ste 2d, Oakland, CA 94607-4261 | 2018-09-19 |
| 1982032017 | Huey Pierce Madion II, D.d.s., P.C. | Clinic/Center | 3511 Dimond Ave, The Madison Dental Building, Oakland, CA 94602-2210 | 2013-10-29 |
| 1851649248 | Dung Q Pham Dds / Cathy H Pham Dds | Clinic/Center | 1400 E 14th St Ste E, Oakland, CA 94606-4493 | 2012-08-16 |
| 1326154360 | La Clinica De La Raza Inc | Clinic/Center | 3050 E 16th St, Oakland, CA 94601-2319 | 2006-08-22 |
| 1346262292 | La Clinica De La Raza Inc | Clinic/Center | 4881 Telegraph Ave, Oakland, CA 94609-2009 | 2006-07-23 |
| 1376184390 | Hai Huang Dds Professional Corporation | Clinic/Center | 1900 Webster St Ste A, Oakland, CA 94612-2946 | 2019-10-01 |
| 1992359061 | Phu Thanh Thien Le, Dds Dental Corp | Clinic/Center | 650 International Blvd Ste A, Oakland, CA 94606-2987 | 2019-07-27 |
| Find all providers in OAKLAND | ||||
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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.