DR. EDWARD N. ROBERTSON (NPI# 1679570188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679570188 |
| Entity Type | Individual |
| Full Name | DR. EDWARD N. ROBERTSON |
| Credential | DMD,MS |
| Practice Address |
23 Wabanaki Way Penobscot Nation Health Department Indian Island ME 04468-1252 |
| Practice Telephone | 2078177418 |
| Practice Fax Number | 2078177453 |
| Mailing Telephone | 2078177418 |
| Mailing Fax Number | 2078177453 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 17465 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104191154 | Edward Ehime Robertson Jr. | Emergency Medicine | 462 1st Ave, New York, NY 10016-9196 | 2012-03-08 |
| 1861416000 | Edward James Robertson | Surgery | 130 Cedar Rd # 350, Vista, CA 92083-5102 | 2006-07-27 |
| Street Address |
23 WABANAKI WAY PENOBSCOT NATION HEALTH DEPARTMENT |
| City | INDIAN ISLAND |
| State | ME |
| Zip Code | 04468-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578025 | Leslie Maxwell Ohmart IIi | Pharmacist | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2005-06-14 |
| 1700293057 | Crystal Sutton | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2014-07-18 |
| 1801101993 | Penobscot Nation Health Department | Clinic/Center | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2010-08-12 |
| 1013187061 | Paul Dean Flagg | Pharmacist | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2008-03-06 |
| 1922206408 | Nadine Villani | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2007-07-06 |
| 1467658112 | Benjamin Walter Huerth | Family Medicine | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2007-06-21 |
| 1568673267 | Merla Roy | Technician, Pathology | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-05-24 |
| 1225153851 | Margo Downing | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-03-20 |
| 1033277678 | Tanya M Miller | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-12-05 |
| 1457427841 | Timothy R. Lentz | Nurse Practitioner | 23 Wabanaki Way, Indian Island, ME 04468-1252 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1275906893 | Penobscot Community Health Center | Podiatrist | 242 Brunswick St, Old Town, ME 04468 | 2015-11-04 |
| 1740670421 | Kimberly Ann Yartklang | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468 | 2015-02-02 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1720216245 | Christopher L. Johnston | Family Medicine | 242 Brunswick St, Old Town, ME 04468 | 2009-06-23 |
| Find all providers in zip 04468 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354559 | Wes Mills | Dentist | 58 Portland Rd Ste 5, Kennebunk, ME 04043-6651 | 2020-10-20 |
| 1871119297 | Alexander Katanov | Dentist | 10 Market Sq Ste 3, South Paris, ME 04281-1573 | 2020-06-22 |
| 1720601321 | Margaret Mary Ellen Palmer | Dentist | 80 Pleasant Street, Brunswick, ME 04011-2203 | 2020-05-19 |
| 1053941849 | North Pond Dental Care | Dentist | 2467 Altantic Hwy, Warren, ME 04864 | 2020-01-21 |
| 1972156727 | Wanho Lew | Dentist | 127 Topsham Fail Mall Rd., Topsham, ME 04086 | 2019-07-22 |
| 1093372906 | Kevin Wright | Dentist | 99 Oak St, Ellsworth, ME 04605-1622 | 2019-05-27 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1801381686 | John Stanley Skvorak IIi | Dentist | 290 Bridgton Rd, Westbrook, ME 04092-3753 | 2018-06-25 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN ISLAND |
| Zip Code | 04468 |
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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.