Healthcare Provider Details

I. General information

NPI: 1982526117
Provider Name (Legal Business Name): LEWISTON AUBURN DENTAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 LISBON ST
LEWISTON ME
04240-5749
US

IV. Provider business mailing address

1065 LISBON ST
LEWISTON ME
04240-5749
US

V. Phone/Fax

Practice location:
  • Phone: 207-376-4977
  • Fax: 207-376-4979
Mailing address:
  • Phone: 207-376-4977
  • Fax: 207-376-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES D'AMICO
Title or Position: OWNER
Credential: DDS
Phone: 207-469-8014