PENOBSCOT COMMUNITY DENTAL CLINIC
NPI 1053404996
Dentist in Bangor, ME

Q: What is Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1053404996. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Penobscot Community Dental Clinic.

Q: What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 02, 2006

1048 UNION ST, BANGOR, ME 04401(207) 945-5247 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Aug 6, 2018, Jan 19, 2018 (3 updates tracked since 2018).

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About Penobscot Community Dental Clinic NPPES

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

PENOBSCOT COMMUNITY DENTAL CLINIC (NPI 1053404996) is a healthcare organization registered as a dentist in Bangor, Maine and active in the NPI registry since October 2006. The organization lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1053404996

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER

Location Address1048 UNION STBangor, ME 04401

Mailing AddressPo Box 1599Bangor, ME 04402-1599 · (207) 945-5247

Phone(207) 945-5247

Organization SubpartNo

Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200

Enumeration DateOctober 2, 2006

Last NPPES UpdateApril 1, 20213 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1053404996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

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.

1048 UNION ST, Bangor, ME 04401

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Other Names 1

Doing Business AsPenobscot Community Dental Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ISABELLA FREITAS DMD

Dentist