NPI Code Detail JSON Logo

1386401826 NPI number — FOREST FALLS DENTAL HOLDING LLC

NPI Number: 1386401826
Health Care Provider/Practitioner: FOREST FALLS DENTAL HOLDING LLC

Information about “1386401826” NPI (FOREST FALLS DENTAL HOLDING LLC) exists in 1386401826 in HTML format HTML  |  1386401826 in plain Text format TXT  |  1386401826 in PDF (Portable Document Format) PDF  |  1386401826 in an XML format XML  formats.

NPI Number : 1386401826 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386401826",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FOREST FALLS DENTAL HOLDING LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1290 CONGRESS ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04102-2113",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-207-1689",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10 FOREST FALLS DR STOP 9",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YARMOUTH",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04096-4900",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-846-3966",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2024",
    "LastUpdateDate": "03/01/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LEE",
    "AuthorizedOfficialFirstName": "DAVID",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "732-207-1689",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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