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KATAHDIN PEDIATRIC DENTISTRY
NPI 1013274067
Dentist - Pediatric Dentistry in Bangor, ME

Active since April 16, 2012
24 PENN PLZ, BANGOR, ME 04401(207) 942-0593(207) 947-5237 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katahdin Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATAHDIN PEDIATRIC DENTISTRY (NPI 1013274067) is a healthcare organization registered as a pediatric dentistry in Bangor, Maine and active in the NPI registry since April 2012. The organization lists Gaston To'olo, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1013274067
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKATAHDIN PEDIATRIC DENTISTRY
Location Address24 PENN PLZBangor, ME 04401-3620
Mailing Address24 Penn PlzBangor, ME 04401-3620 · (207) 942-0593 · Fax (207) 947-5237
Phone(207) 942-0593
Fax(207) 947-5237
Organization SubpartNo
Authorized OfficialGaston To'oloPediatric Dentist · (207) 942-0593
Enumeration DateApril 16, 2012
Last NPPES UpdateNovember 10, 2016
✔ NPI 1013274067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in ME · 4096✔ Licensed in ME · 3063
Definition
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.
24 PENN PLZ, Bangor, ME 04401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

R DAN MOORE DDS MD ORAL AND FACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
24 PENN PLZ
BANGOR, ME 04401
Penobscot County (207) 947-6146
DR. ROBERT DANNY MOORE DDS, MD
Dentist (Oral and Maxillofacial Pathology)
24 PENN PLZ
BANGOR, ME 04401
Penobscot County (207) 848-2806
KATAHDIN PEDIATRIC'S PA
Dentist (Pediatric Dentistry)
24 PENN PLZ
BANGOR, ME 04401
Penobscot County (207) 356-9685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katahdin Pediatric Dentistry's NPI number?

The NPI number for Katahdin Pediatric Dentistry is 1013274067. It was assigned to this organization in the NPPES registry on April 16, 2012.

Where is Katahdin Pediatric Dentistry located?

Katahdin Pediatric Dentistry is located at 24 Penn Plz, Bangor, ME 04401. The listed phone number is (207) 942-0593.

What is Katahdin Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Katahdin Pediatric Dentistry was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.