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INTERDENT LLC
NPI 1992099311
Dentist in Augusta, ME

Active since June 02, 2011
12 SHUMAN AVE, AUGUSTA, ME 04330(207) 623-7580 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Interdent Llc NPPES

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

INTERDENT LLC (NPI 1992099311) is a healthcare organization registered as a dentist in Augusta, Maine and active in the NPI registry since June 2011. The organization lists Glen Frederic Abbott, President, as its authorized official.

NPPES Registry Identity

NPI1992099311
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameINTERDENT LLC
Location Address12 SHUMAN AVEAugusta, ME 04330-6020
Mailing Address12 Shuman AveAugusta, ME 04330-6020 · (207) 623-7580
Phone(207) 623-7580
Organization SubpartNo
Authorized OfficialGlen Frederic AbbottPresident · (207) 776-9776
Enumeration DateJune 2, 2011
✔ NPI 1992099311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ME · 3757
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12 SHUMAN AVE, Augusta, ME 04330
Open in Google Maps ↗

Other Identifiers 1

Other435721099ME · Maine Care

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 9

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

NICHOLAS ANTHONY POOLER
Occupational Therapist
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (207) 623-3900
MRS. VALERIE DENISE GALLAGHER M.S. CCC-A
Audiologist
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-8680
JARROD JOHN HENRY PA-C
Physician Assistant (Medical)
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (207) 622-8600
REGIONAL HOME CARE INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
12 SHUMAN AVE, UNIT #A-10
AUGUSTA, ME 04330
Kennebec County (207) 123-4567
DR. ANN DAVINA TUDDENHAM MD
Pediatrics
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (855) 239-3556
MISS PAIGE NICOLE DAVIS OTR/L
Occupational Therapist
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (207) 623-3900
MS. ELLEN RUDGE BOWMAN LCPC
Counselor (Mental Health)
12 SHUMAN AVE, SUITE 18
AUGUSTA, ME 04330
Kennebec County (207) 621-0646
JENNIFER BYRON
Occupational Therapy Assistant
12 SHUMAN AVE
AUGUSTA, ME 04330
Kennebec County (207) 623-3900

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 Interdent LLC's NPI number?

The NPI number for Interdent LLC is 1992099311. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Interdent LLC located?

Interdent LLC is located at 12 Shuman Ave, Augusta, ME 04330. The listed phone number is (207) 623-7580.

What is Interdent LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Interdent LLC was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.