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KEVIN M CONNELLY D.M.D.
NPI 1881789824
Dentist - General Practice in Lewiston, ME

Active since October 04, 2006PECOS Enrolled
1065 LISBON ST, LEWISTON, ME 04240(207) 376-4977(207) 376-4979 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin M Connelly D.m.d. NPPES

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

KEVIN M CONNELLY D.M.D. (NPI 1881789824) is an individual general practice provider in Lewiston, Maine, licensed in Maine (3619) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881789824
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEVIN M CONNELLYCredential: D.M.D.
Location Address1065 LISBON STLewiston, ME 04240-5749
Mailing Address1065 Lisbon StLewiston, ME 04240-5749 · (207) 376-4977 · Fax (207) 376-4979
Phone(207) 376-4977
Fax(207) 376-4979
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1881789824 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 · 3619
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.
1065 LISBON ST, Lewiston, ME 04240
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin M Connelly D.m.d. 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 04240 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 4

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

KMC DENTAL, P.A.
Dentist
1065 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 376-4977
GENTLE FAMILY DENTISTRY
Clinic/Center (Dental)
1065 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 376-4977
MITCHELL AUSTER DMD
Dentist (General Practice)
1065 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 784-2142
DR. MITCHELL AUSTER D.M.D.
Dentist
1065 LISBON ST
LEWISTON, ME 04240
Androscoggin County (207) 784-2142

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 Kevin Connelly's NPI number?

The NPI number for Kevin Connelly is 1881789824. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kevin Connelly located?

Kevin Connelly practices at 1065 Lisbon St, Lewiston, ME 04240. The listed phone number is (207) 376-4977.

What is Kevin Connelly's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kevin Connelly enrolled in Medicare?

Yes. Kevin Connelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Connelly was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.