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PRAVEEN PAVULURU, DMD, LLC
NPI 1962133454
Clinic/Center - Dental in Bangor, ME

Active since June 23, 2022
90 RIDGEWOOD DR, BANGOR, ME 04401(207) 262-3744(207) 262-3745 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Praveen Pavuluru, Dmd, Llc NPPES

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

PRAVEEN PAVULURU, DMD, LLC (NPI 1962133454), doing business as Carefirst Dental Clinic, is a healthcare organization registered as a dental in Bangor, Maine and active in the NPI registry since June 2022. The organization lists Praveen K Pavuluru, Sole Owner/member, as its authorized official.

NPPES Registry Identity

NPI1962133454
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePRAVEEN PAVULURU, DMD, LLC
Location Address90 RIDGEWOOD DRBangor, ME 04401-2652
Mailing Address90 Ridgewood DrBangor, ME 04401-2652 · (207) 262-3744 · Fax (207) 262-3745
Phone(207) 262-3744
Fax(207) 262-3745
Organization SubpartNo
Authorized OfficialPraveen K PavuluruSole Owner/member · (207) 577-3424
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1962133454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
90 RIDGEWOOD DR, Bangor, ME 04401
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Other Names 1

Doing Business AsCarefirst Dental Clinic

Other Providers at the Same Location NPPES 7

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

DR. JEFFREY DEAN PITTIS M.D.
Dermatology
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 942-0669
MRS. FAITH MILLER WHALEN MD
Dermatology
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 942-0669
DR. PRAVEEN KUMAR PAVULURU D.M.D
Dentist (General Practice)
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 262-3744
MRS. AMY C SIM NP
Nurse Practitioner (Family)
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 942-0669
MRS. SAMANTHA HELENE MITCHELL FNP-C
Dermatology
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 942-0669
MRS. DEBORAH MACCHI PITTIS FNP
Nurse Practitioner (Family)
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (208) 942-0669
HOLLY HAEBERLEIN
Dermatology
90 RIDGEWOOD DR
BANGOR, ME 04401
Penobscot County (207) 942-0669

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 Praveen Pavuluru, Dmd, LLC's NPI number?

The NPI number for Praveen Pavuluru, Dmd, LLC is 1962133454. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Carefirst Dental Clinic.

Where is Praveen Pavuluru, Dmd, LLC located?

Praveen Pavuluru, Dmd, LLC is located at 90 Ridgewood Dr, Bangor, ME 04401. The listed phone number is (207) 262-3744.

What is Praveen Pavuluru, Dmd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Praveen Pavuluru, Dmd, LLC was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.