KATAHDIN PEDIATRIC'S PA
NPI 1679038137
Dentist - Pediatric Dentistry in Bangor, ME

Active since February 08, 2019

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Katahdin Pediatric's Pa NPPES

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

KATAHDIN PEDIATRIC'S PA (NPI 1679038137), doing business as Katahdin Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Bangor, Maine and active in the NPI registry since February 2019. The organization lists Gaston To'olo, Dentist, as its authorized official.

NPPES Registry Identity

NPI1679038137
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKATAHDIN PEDIATRIC'S PA
Location Address24 PENN PLZBangor, ME 04401-3620
Mailing Address24 Penn PlzBangor, ME 04401-3620 · (207) 356-9685
Organization SubpartYes
Authorized OfficialGaston To'oloDentist · (207) 942-0593
Enumeration DateFebruary 8, 2019
NPI 1679038137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
24 PENN PLZ, Bangor, ME 04401

Other Names 1

Doing Business AsKatahdin Pediatric Dentistry

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 3

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

Dentist (Pediatric Dentistry)
24 PENN PLZ
BANGOR, ME 04401
Dentist (Oral and Maxillofacial Surgery)
24 PENN PLZ
BANGOR, ME 04401
Dentist (Oral and Maxillofacial Pathology)
24 PENN PLZ
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 Katahdin Pediatric's PA's NPI number?

The NPI number for Katahdin Pediatric's PA is 1679038137. It was assigned to this organization in the NPPES registry on February 8, 2019. The provider is doing business as Katahdin Pediatric Dentistry.

Where is Katahdin Pediatric's PA located?

Katahdin Pediatric's PA is located at 24 Penn Plz, Bangor, ME 04401. The listed phone number is (207) 356-9685.

What is Katahdin Pediatric's PA'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 Katahdin Pediatric's PA was last updated on February 8, 2019. 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.