BANGOR BRACES PC (NPI# 1851836001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851836001 |
| Entity Type | Organization |
| Organization Name | BANGOR BRACES PC |
| Practice Address |
570 Stillwater Ave Bangor ME 04401-3522 |
| Practice Telephone | 2079456324 |
| Mailing Telephone | 2079456324 |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |
| Authorized Official Name | DR. BRAD JAMES WOODFORD (OWNER) |
| Authorized Official Telephone | 2079456324 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN4336 | ME | Dental Providers |
| Street Address |
570 STILLWATER AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992040083 | Brad J. Woodford | Dentist | 570 Stillwater Ave, Bangor, ME 04401-3522 | 2012-11-30 |
| 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 | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992040083 | Brad J. Woodford | Dentist | 570 Stillwater Ave, Bangor, ME 04401-3522 | 2012-11-30 |
| 1972703981 | Michal Freda Kleinlerer | Dentist | 72 Broadway, #a, Bangor, ME 04401-5202 | 2007-07-19 |
| 1487850475 | Stephen Craig Paul | Dentist | 20 Penn Plaza, Suite 31, Bangor, ME 04401 | 2007-06-26 |
| 1427537513 | Jessica Thayer | Dentist | 1048 Union St, Bangor, ME 04401-3016 | 2018-08-09 |
| 1306221528 | Jameson L Hardy | Dentist | 766 Stillwater Ave, Bangor, ME 04401-3616 | 2015-07-29 |
| 1558552489 | Dr Stephen C Paul | Dentist | 20 Penn Plz, Suite 31, Bangor, ME 04401-3620 | 2007-08-06 |
| 1992712582 | G Kent Tableman | Dentist | 766 Stillwater Ave, Bangor, ME 04401-3616 | 2006-08-03 |
| 1447268073 | Associates In Orthodontics, P.a. | Dentist | 766 Stillwater Ave, Bangor, ME 04401-3616 | 2006-08-03 |
| 1629085204 | Louis J Hardy | Dentist | 766 Stillwater Ave, Bangor, ME 04401-3616 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209641 | Candid Maine PC | Dentist | 415 Congress St Ste 201, Portland, ME 04101-3500 | 2020-09-09 |
| 1306497094 | Smile Clinic, LLC | Dentist | 163 Fore St Ste A, Portland, ME 04101-6806 | 2019-09-24 |
| 1316413974 | Brian David Patterson | Dentist | 11 Middle St Ste 1, Augusta, ME 04330-5210 | 2018-10-22 |
| 1891236766 | Corey J. Teguis Dmd Pa | Dentist | 28 W Cole Rd Ste 102, Biddeford, ME 04005-9428 | 2017-03-13 |
| 1760787501 | Darryl Simeon Zeleniak | Dentist | 132 State St, Augusta, ME 04330-5615 | 2011-01-25 |
| 1083931141 | Anthony L Liberatore | Dentist | 219 Chamberlain St, Brewer, ME 04412-1406 | 2010-04-29 |
| 1568785798 | Mark Edmund Nadeau | Dentist | 63 Portland Rd, Kennebunk, ME 04043-6669 | 2010-03-02 |
| 1326376567 | Eugene H. Glad D.m.d. P.a. | Dentist | 11 Middle St, Suite 1, Augusta, ME 04330-5210 | 2009-11-30 |
| 1124233887 | Adult & Pediatric Orthodontics, Pa | Dentist | 10 Forest Falls Dr Stop 5, Yarmouth, ME 04096-6936 | 2007-05-14 |
| 1164637211 | Edward R. Zanca D.m.d., P.a. | Dentist | 5 Childrens Way, Rockport, ME 04856-5746 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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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.