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ACADEMY DENTAL PA
NPI 1316955396
Dentist - General Practice in Presque Isle, ME

Active since August 04, 2006
179 ACEDEMY ST, PRESQUE ISLE, ME 04769(207) 764-3764(207) 764-3367 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Academy Dental Pa NPPES

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

ACADEMY DENTAL PA (NPI 1316955396) is a healthcare organization registered as a general practice in Presque Isle, Maine and active in the NPI registry since August 2006. The organization lists Sandi Bouchard, Office/business Manager, as its authorized official.

NPPES Registry Identity

NPI1316955396
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameACADEMY DENTAL PA
Location Address179 ACEDEMY STPresque Isle, ME 04769
Mailing Address179 Acedemy StPresque Isle, ME 04769 · (207) 764-3764 · Fax (207) 764-3367
Phone(207) 764-3764
Fax(207) 764-3367
Organization SubpartNo
Authorized OfficialSandi BouchardOffice/business Manager · (207) 764-3764
Enumeration DateAugust 4, 2006
Last NPPES UpdateOctober 2, 2018
✔ NPI 1316955396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
179 ACEDEMY ST, Presque Isle, ME 04769
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Other Identifiers 1

Medicaid129220000ME

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 Academy Dental PA's NPI number?

The NPI number for Academy Dental PA is 1316955396. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Academy Dental PA located?

Academy Dental PA is located at 179 Acedemy St, Presque Isle, ME 04769. The listed phone number is (207) 764-3764.

What is Academy Dental PA'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 Academy Dental PA was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.