MARK EDWARD GRUBB (NPI# 1518003094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518003094 |
| Entity Type | Individual |
| Full Name | MARK EDWARD GRUBB |
| Credential | D.D.S. |
| Practice Address |
37 Bower St Bangor ME 04401-4721 |
| Mailing Address |
91 Judson Blvd Bangor ME 04401-2521 |
| Practice Telephone | 2079455691 |
| Practice Fax Number | 2079429525 |
| Mailing Telephone | 2079455353 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
3340 | ME | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134111768 | Mark R Grubb | Orthopaedic Surgery | 150 Springside Dr, Suite B 225, Akron, OH 44333-2468 | 2005-08-19 |
| 1801873880 | Mark S Grubb | Pediatrics | 1706 Meridian S, Suite 120, Puyallup, WA 98371-7516 | 2005-12-29 |
| Street Address |
37 BOWER ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474698 | Northeast Oral & Maxillofacial Surgery Associates P.a. | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-02-15 |
| 1073659538 | William Alexander Deighan | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-01-30 |
| 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 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669511374 | Robert Danny Moore | Dentist | 24 Penn Plz, Bangor, ME 04401-3620 | 2007-02-06 |
| 1255474698 | Northeast Oral & Maxillofacial Surgery Associates P.a. | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-02-15 |
| 1073659538 | William Alexander Deighan | Dentist | 37 Bower St, Bangor, ME 04401-4721 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043374762 | Martin Dunn | Dentist | 1036 Brighton Ave, Unit A, Portland, ME 04102 | 2006-12-20 |
| 1629173711 | Russell J Collett | Dentist | 1601 Congress Street, Portland, ME 04102 | 2006-09-13 |
| 1548295520 | Richard Paul Lemieux | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2006-07-11 |
| 1407142540 | Molly Dee Cohen | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2011-06-28 |
| 1780995712 | Luke L'heureux | Dentist | 1601 Congress St, Portland, ME 04102-2102 | 2010-06-24 |
| 1497892475 | Richard P. Lemieux D.m.d., Pa | Dentist | 1330 Congress St, Portland, ME 04102-2144 | 2007-01-31 |
| 1255404836 | Paul L Auclair | Dentist | 22 Bramhall St, Portland, ME 04102-3134 | 2006-11-15 |
| 1255351664 | William Atherton Bagley | Dentist | 369 Main St, Lewiston, ME 04240-7030 | 2006-07-20 |
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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.