Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285214221 Individual Practitioner Male Practitioner

Dr. Brian M Waller , DMD

Dentist • Bangor, ME

Professional Overview & Biography Verified Profile Summary

Dr. Brian Waller, DMD is a registered healthcare professional specializing in Dentist in Bangor, ME. Practice services are available at 1048 UNION ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1048 Union St

Bangor, ME 044013016

Telephone 2079922152
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
50 Specialists

Practicing in Bangor, ME (404 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ME DEN5051

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
NPI 1013846609

Doctor of Dental Medicine

NPI 1023634979
Dr. Edward Zanca , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1063627107

Doctor of Dental Medicine

NPI 1104912286

Doctor of Dental Surgery

NPI 1124382346

Doctor of Dental Surgery

NPI 1184986622

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 26, 2023

Registered at 1048 UNION ST, BANGOR, ME 044013016 (Tel: 2079922152)

📍
Updated Business Mailing Address July 26, 2023

Registered at PO BOX 1599, BANGOR, ME 044021599

👤
Provider Name / Credentials Updated June 21, 2023

Recorded as BRIAN WALLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Dentist (License #DEN5051 in ME)

📍
Updated Practice Location August 05, 2022

Registered at 1200 12TH AVE S STE 401, SEATTLE, WA 981442730 (Tel: 2065485850)

📍
Updated Business Mailing Address August 05, 2022

Registered at 1200 12TH AVE S STE 901, SEATTLE, WA 981442712 (Tel: 2065483114)

📍
Updated Business Mailing Address June 19, 2022

Registered at 9221 1/2 35TH AVE SW, SEATTLE, WA 981263822 (Tel: 3852750692)

NPI Profile Active April 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2021

Registered at 6200 13TH AVE S FL 1, SEATTLE, WA 981082706 (Tel: 2064616943)

📍
Updated Business Mailing Address April 13, 2021

Registered at 96 DAVIS ST, SOUTH PORTLAND, ME 041064909 (Tel: 3852750692)

👤
Provider Name / Credentials Updated April 13, 2021

Recorded as BRIAN WALLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285214221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2021
Last Update: July 26, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1599

Bangor, ME 044021599

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.