COSMETIC & GENERAL DENTISTRY OF WINTHROP
NPI 1407029184
Clinic/Center - Dental in Winthrop, ME

NPI Status: Active since April 02, 2008

Contact Information

28 OLD WESTERN AVE
WINTHROP, ME
ZIP 04364
Phone: (207) 377-6958
Fax: (207) 377-4349

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  • Organization
  • Clinic/Center
  • Dental

About COSMETIC & GENERAL DENTISTRY OF WINTHROP

This page provides the complete NPI Profile along with additional information for Cosmetic & General Dentistry Of Winthrop, a provider established in Winthrop, Maine operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1407029184 assigned on April 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 3627 (ME). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Jay R Wietecha Dmd (Owner)

NPI
1407029184
Provider Name
COSMETIC & GENERAL DENTISTRY OF WINTHROP
Entity Type
Organization
Location Address
28 OLD WESTERN AVE WINTHROP, ME 04364
Location Phone
(207) 377-6958
Location Fax
(207) 377-4349
Mailing Address
28 OLD WESTERN AVE WINTHROP, ME 04364
Mailing Phone
(207) 377-6958
Mailing Fax
(207) 377-4349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2008
Last Update Date
04-02-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
3627
License State
ME

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

2556 (ME)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAY R WIETECHA DMD

Authorized Official Title
OWNER
Authorized Official Phone
(207) 377-6958

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407029184
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24070218116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 0 + 2 + 1 + 8 + 1 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1407029184 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033169958DR. ROBERT SANDS DMD
Individual
Dentist (General Practice)28 OLD WESTERN AVE
WINTHROP, ME 04364
(207) 377-6958
1851591630COSMETIC & GENERAL DENTISTRY OF WINTHROP
Organization
Dentist (General Practice)28 OLD WESTERN AVE
WINTHROP, ME 04364
(207) 377-6958

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407029184, enumerated in the NPI registry as an "organization" on April 02, 2008

The provider is located at 28 Old Western Ave Winthrop, Me 04364 and the phone number is (207) 377-6958

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on April 02, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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