Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian M Waller, DMD

Individual provider Dentist · NPI 1285214221

Brian M Waller, DMD is a Dentist in Bangor, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1048 Union St
Bangor, ME 04401-3016
Phone: (207) 992-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN5051 (ME)

Record details

NPI number1285214221
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 13, 2021
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing addressPo Box 1599, Bangor, ME 04402-1599

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