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PENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
NPI 1285854836
Dentist - Pediatric Dentistry in Bangor, ME

Active since April 26, 2007
792 STILLWATER AVE, BANGOR, ME 04401(207) 947-6733(207) 947-6760 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penobscot Childrens Dentistry Associates NPPES

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

PENOBSCOT CHILDRENS DENTISTRY ASSOCIATES (NPI 1285854836) is a healthcare organization registered as a pediatric dentistry in Bangor, Maine and active in the NPI registry since April 2007. The organization lists Jonathan David Shenkin, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1285854836
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
Location Address792 STILLWATER AVEBangor, ME 04401-3617
Mailing Address792 Stillwater AveBangor, ME 04401-3617 · (207) 947-6733 · Fax (207) 947-6760
Phone(207) 947-6733
Fax(207) 947-6760
Organization SubpartNo
Authorized OfficialJonathan David ShenkinPediatric Dentist · (207) 947-6733
Enumeration DateApril 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285854836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in ME · 3649
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.
792 STILLWATER AVE, 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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. JULIE ANN THOMPSON RDH
Dental Hygienist
792 STILLWATER AVE, MAINE FAMILY DENTAL
BANGOR, ME 04401
Penobscot County (207) 947-1166
CHRISTINE SULLIVAN DMD
Dentist
792 STILLWATER AVE
GLENBURN, ME 04401
Penobscot County (207) 947-1166
BUXTON DENTAL PC
Dentist (General Practice)
792 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 947-1166
MRS. UNA LEANNA PURVIS RDH, IPDH
Dental Hygienist
792 STILLWATER AVE
BANGOR, ME 04401
Penobscot County (207) 947-1166

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 Penobscot Childrens Dentistry Associates's NPI number?

The NPI number for Penobscot Childrens Dentistry Associates is 1285854836. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Penobscot Childrens Dentistry Associates located?

Penobscot Childrens Dentistry Associates is located at 792 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 947-6733.

What is Penobscot Childrens Dentistry Associates'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 Penobscot Childrens Dentistry Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.