Penobscot Community Health Center
NPI 1053404996ActiveOrganization· Dentist· Bangor, ME
Dentist in Bangor, Maine, registered in NPPES in October 2006. The authorized official on file is Lori L. Dwyer, ESQ., President & Ceo.
Overview
| NPI | 1053404996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Apr 1, 2021 |
| Certified by provider | Apr 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Bangor
- 1831319425
- 1326306085
- 1760512446
- 1720535651
- 1972962835
- 1730842659
- 1023634979
- 1831570688
- 1376808816
- 1174743926
- 1235365644
- 1396445060