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BRIAN M WALLER DMD
NPI 1285214221
Dentist in Bangor, ME

Active since April 13, 2021PECOS Enrolled
1048 UNION ST, BANGOR, ME 04401(207) 992-2152 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2023, Jun 21, 2023, Aug 5, 2022 and 1 more (4 updates tracked since 2021).

About Brian M Waller Dmd NPPES

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

BRIAN M WALLER DMD (NPI 1285214221) is an individual dentist in Bangor, Maine, licensed in Maine (DEN5051) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285214221
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRIAN M WALLERCredential: DMD
Location Address1048 UNION STBangor, ME 04401-3016
Mailing AddressPo Box 1599Bangor, ME 04402-1599
Phone(207) 992-2152
Sole ProprietorYes
Enumeration DateApril 13, 2021
Last NPPES UpdateJuly 26, 20234 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1285214221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ME · DEN5051
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian M Waller Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 992-2152
DR. ARLENE A ASANTE
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 992-2152
PENOBSCOT COMMUNITY HEALTH CENTER
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 945-5247
EDWARD R ZANCA DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 992-2152
ZIAD AL ADHAM
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 404-8200
JON CURTIS DAILEY DDS
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 992-2152
NIKHIL S MALLICK DDS
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 992-2152
NATALIE SIGWART
Dentist
1048 UNION ST
BANGOR, ME 04401
Penobscot County (207) 945-5247

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 Brian Waller's NPI number?

The NPI number for Brian Waller is 1285214221. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Brian Waller located?

Brian Waller practices at 1048 Union St, Bangor, ME 04401. The listed phone number is (207) 992-2152.

What is Brian Waller's specialty?

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

Is Brian Waller enrolled in Medicare?

Yes. Brian Waller is registered in the Medicare PECOS enrollment system.

What insurance does Brian Waller accept?

Health plans from Anthem Blue Cross and Blue Sheld, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Brian Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Waller was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.