OrganizationActive
Praveen Pavuluru, DMD, LLC
NPI 1962133454 · Dental Clinic/Center · Bangor, ME
Praveen Pavuluru, DMD, LLC is a Dental Clinic/Center organization in Bangor, ME (NPI 1962133454).
Provider details
- NPI number
- 1962133454
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Praveen Pavuluru, Sole Owner/Member(207) 577-3424
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
90 Ridgewood Dr
Bangor, ME 04401-2652
Phone: (207) 262-3744
Fax: (207) 262-3745
Street-level locationGet directions
Mailing address
90 Ridgewood Dr
Bangor, ME 04401-2652
Other names (DBA / former)
- Doing business as
- Carefirst Dental Clinic
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Frequently asked questions
- What is Praveen Pavuluru, DMD, LLC's NPI number?
- Praveen Pavuluru, DMD, LLC's National Provider Identifier (NPI) is 1962133454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Praveen Pavuluru, DMD, LLC?
- Praveen Pavuluru, DMD, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Praveen Pavuluru, DMD, LLC located?
- Praveen Pavuluru, DMD, LLC's practice location on file with NPPES is 90 Ridgewood Dr, Bangor, ME 04401-2652.
- What is Praveen Pavuluru, DMD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Praveen Pavuluru, DMD, LLC is (207) 262-3744.
- Who is the authorized official for Praveen Pavuluru, DMD, LLC?
- The authorized official listed on Praveen Pavuluru, DMD, LLC's NPPES record is Praveen Pavuluru, Sole Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Praveen Pavuluru, DMD, LLC's NPI active?
- Yes — Praveen Pavuluru, DMD, LLC's NPI (1962133454) is active in the NPPES registry as of the last update on 2022-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.