Brian M. Waller, DMD

Dentist · Bangor, ME

Individual Active NPI

NPI number 1285214221

Practice location

1048 Union St
Bangor, ME 04401-3016
Phone
(207) 992-2152

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NPI record

NPI
1285214221
Entity type
Individual (Type 1)
Enumeration date
April 13, 2021
Last updated
July 26, 2023
Certified
July 26, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DEN5051 ME

Mailing address

PO Box 1599
Bangor, ME 04402-1599

About Dr. Waller

Brian M. Waller, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1048 Union St, Bangor, ME 04401-3016. The NPI number 1285214221 was assigned on April 13, 2021 and the record was last updated on July 26, 2023.

Dr. Waller lists a license in the registry: #DEN5051 (ME) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian M. Waller, DMD?

The NPI number is 1285214221.

What is the phone number of Dr. Waller?

The phone number listed for the practice location is (207) 992-2152.

Where is Dr. Waller located?

1048 Union St, Bangor, ME 04401-3016.

What is the taxonomy code for Dr. Waller?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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