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ELLSWORTH BUCKSPORT DENTAL ASSOCIATES
NPI 1124352737
Dentist - General Practice in Bucksport, ME

Active since September 29, 2009
11 MECHANIC STREET, BUCKSPORT, ME 04416(207) 469-6191(207) 469-3816 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellsworth Bucksport Dental Associates NPPES

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

ELLSWORTH BUCKSPORT DENTAL ASSOCIATES (NPI 1124352737) is a healthcare organization registered as a general practice in Bucksport, Maine and active in the NPI registry since September 2009. The organization lists Jodi L Sawyer, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124352737
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELLSWORTH BUCKSPORT DENTAL ASSOCIATES
Location Address11 MECHANIC STREETBucksport, ME 04416
Mailing AddressPo Box 838Bucksport, ME 04416-0838 · (207) 469-6191 · Fax (207) 469-3816
Phone(207) 469-6191
Fax(207) 469-3816
Organization SubpartYes
Authorized OfficialJodi L SawyerOffice Manager · (207) 667-7117
Enumeration DateSeptember 29, 2009
✔ NPI 1124352737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 3036
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11 MECHANIC STREET, Bucksport, ME 04416
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Other Identifiers 1

Medicaid120010000ME

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 SINGLE SPECIALTY GROUP

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 Ellsworth Bucksport Dental Associates's NPI number?

The NPI number for Ellsworth Bucksport Dental Associates is 1124352737. It was assigned to this organization in the NPPES registry on September 29, 2009.

Where is Ellsworth Bucksport Dental Associates located?

Ellsworth Bucksport Dental Associates is located at 11 Mechanic Street, Bucksport, ME 04416. The listed phone number is (207) 469-6191.

What is Ellsworth Bucksport Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ellsworth Bucksport Dental Associates was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.