BANGOR FAMILY DENTISTRY
NPI 1457360562
Dentist - General Practice in Bangor, ME

Active since August 07, 2006
83 RIDGEWOOD DR, BANGOR, ME 04401(207) 947-4767(207) 947-7112 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bangor Family Dentistry NPPES

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

BANGOR FAMILY DENTISTRY (NPI 1457360562) is a healthcare organization registered as a general practice in Bangor, Maine and active in the NPI registry since August 2006. The organization lists Mark L Carreira, Owner, as its authorized official.

NPPES Registry Identity

NPI1457360562
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBANGOR FAMILY DENTISTRY
Location Address83 RIDGEWOOD DRBangor, ME 04401-2652
Mailing Address83 Ridgewood DrBangor, ME 04401-2652 · (207) 947-4767 · Fax (207) 947-7112
Fax(207) 947-7112
Organization SubpartNo
Authorized OfficialMark L CarreiraOwner · (207) 947-4767
Enumeration DateAugust 7, 2006
Last NPPES UpdateMay 4, 2018
NPI 1457360562 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 · 2098
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.
83 RIDGEWOOD DR, Bangor, ME 04401

Other Identifiers 2

Medicaid104880000ME
Other828257ME · United Concordia

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

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

Dentist
83 RIDGEWOOD DR
BANGOR, ME 04401

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 Bangor Family Dentistry's NPI number?

The NPI number for Bangor Family Dentistry is 1457360562. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Bangor Family Dentistry located?

Bangor Family Dentistry is located at 83 Ridgewood Dr, Bangor, ME 04401. The listed phone number is (207) 947-4767.

What is Bangor Family Dentistry'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 Bangor Family Dentistry was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.