MAINELY KIDS & TEENS, LLC (NPI# 1801433750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801433750 |
| Entity Type | Organization |
| Organization Name | MAINELY KIDS & TEENS, LLC |
| Practice Address |
8 Shuman Ave Augusta ME 04330-7751 |
| Mailing Address |
1 Cumberland Pl Ste 116 Bangor ME 04401-5087 |
| Practice Telephone | 2079743018 |
| Practice Fax Number | 2079743067 |
| Mailing Telephone | 2079743018 |
| Mailing Fax Number | 2079743067 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | JEFF BATEMAN (CEO) |
| Authorized Official Telephone | 2079743018 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINELY KIDS & TEENS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Augusta Children's Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835678 | Mainely Kids & Teens, LLC | Dentist | One Cumberland Pl, Ste 116, Bangor, ME 04401-5083 | 2015-07-07 |
| Street Address |
8 SHUMAN AVE |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538325568 | Denise A Nadeau Aldilaimi | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2008-07-30 |
| 1770025694 | Den Dent Al. LLC | Dentist | 8 Shuman Ave, Augusta, ME 04330-7751 | 2016-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497198154 | Brittany Rose Waters | Dentist | 2070 Reserve Ln, Augusta, GA 30907-6215 | 2013-04-12 |
| 1366708653 | June Murakaru | Dentist | 1120 15th St # Gc-2133, Augusta, GA 30912-0004 | 2012-04-11 |
| 1922188085 | Phillip Hickson Miller | Dentist | 104 Kings Chapel Rd, Augusta, GA 30907-4001 | 2006-10-16 |
| 1699873786 | I Gary Katcoff | Dentist | 3559 Wheeler Road, Augusta, GA 30909 | 2006-09-20 |
| 1306868872 | Michael Milano | Dentist | 1430 John Wesley Gilbert Drive Au Dental Associates, Augusta, GA 30912-7450 | 2006-07-24 |
| 1982644142 | Andrew Durbin Chandler | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2006-06-07 |
| 1164490918 | Center for Pediatric Dentistry, PC | Dentist | 1243 Augusta West Pkwy, Augusta, GA 30909-1807 | 2006-03-09 |
| 1245879006 | Pediatric Dental Associates of Atlanta | Dentist | 525 Pleasant Home Rd, Augusta, GA 30907-3525 | 2019-12-26 |
| 1669815296 | Andrew Shoemaker | Dentist | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2013-04-13 |
| 1972851954 | Michael Lee Minyard | Dentist | 1120 15th St, Augusta, GA 30912-2960 | 2012-08-22 |
| Find all providers in AUGUSTA | ||||
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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.