NORTHWOODS DENTAL, LLC – NPI #1851035828
Clinic/Center

NORTHWOODS DENTAL, LLC is an AHC clinic located in SKOWHEGAN, ME. NPPES has assigned the NPI number 1851035828 to NORTHWOODS DENTAL, LLC on April 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWOODS DENTAL, LLC below.

NPI Profile for
NORTHWOODS DENTAL, LLC

NPI Number
1851035828
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWOODS DENTAL, LLC
Primary location
327 NORTH AVENUE
SKOWHEGAN, ME 04976
Phone: (207) 474-8588 Fax:
Mailing address
PO BOX 411
SKOWHEGAN, ME 04976-0411
Phone: (207) 474-8588 Fax:
Organization Subpart
No
Authorized Official
ALEXANDER TYBURSKI
DENTIST/ SOLE MEMBER
Phone: (207) 330-0378
Updated
Certification Date
Apr 11, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.