GORHAM VILLAGE DENTAL LLC (NPI# 1174184253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174184253 |
| Entity Type | Organization |
| Organization Name | GORHAM VILLAGE DENTAL LLC |
| Practice Address |
77 South St Gorham ME 04038-1715 |
| Practice Telephone | 2076424300 |
| Mailing Telephone | 2076424300 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | DR. CORY MURRAY (CO-OWNER) |
| Authorized Official Telephone | 2076424300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
77 SOUTH ST |
| City | GORHAM |
| State | ME |
| Zip Code | 04038-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749039 | Lindsey Anne Thomsen | Physician Assistant | 15 Caitlin Drive, Gorham, ME 04038 | 2020-04-21 |
| 1124537600 | Helping Hearts Home Care | Home Health | 46 Farrington Rd, Gorham, ME 04038 | 2017-09-27 |
| 1689109019 | Deborah Ann Cooper | In Home Supportive Care | 46 Farrington Road, Gorham, ME 04038 | 2017-04-24 |
| 1184056400 | Katherine Pritchard | Speech-Language Pathologist | 1002 Wagner Farm Road, Gorham, ME 04038 | 2013-08-09 |
| 1043565013 | Jennifer Brooke Turcotte | Social Worker | 697b Gray Rd, Gorham, ME 04038 | 2012-07-17 |
| 1326356296 | Gail Trefethern-kelley | Occupational Therapist | 75 School Street, Suite 2, Gorham, ME 04038 | 2010-09-14 |
| 1396963245 | Jaime Marie Tardif | Social Worker | 72 Justice Way, Gorham, ME 04038 | 2007-04-23 |
| 1033234224 | Marie A Pedersen | Social Worker | 39 Finn Parker Road, Gorham, ME 04038 | 2007-03-20 |
| 1205971330 | Victor Liberi | Specialist/Technologist | 33 College Ave., University of So. Maine, Gorham, ME 04038 | 2007-02-20 |
| 1467595322 | Susanne Martornao | Occupational Therapist | 14 Murray Drive, Gorham, ME 04038 | 2007-02-14 |
| Find all providers in zip 04038 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430711 | Md Portland LLC | Clinic/Center | 15 Middle St # A-c2, Portland, ME 04101-4881 | 2020-05-29 |
| 1740815976 | Douglas H Macgilpin, LLC | Clinic/Center | 80 Baribeau Dr Ste 2, Brunswick, ME 04011-3218 | 2020-03-09 |
| 1750916078 | Dental Hygiene Associates of Maine | Clinic/Center | 8 Moosehead Ln Apt 108, Dover Foxcroft, ME 04426-1402 | 2020-03-06 |
| 1598396350 | Roots Dental, Pllc | Clinic/Center | 191 Marginal Way Ste C, Portland, ME 04101-3387 | 2020-01-30 |
| 1255979563 | Mbrace Orthodontics Pllc | Clinic/Center | 74 Gray Rd Ste 1, Falmouth, ME 04105-2062 | 2019-12-17 |
| 1568934313 | 42 North Dental Care Pllc | Clinic/Center | 1 Willow Run Unit 1b, Auburn, ME 04210-8501 | 2018-12-18 |
| 1407330467 | Katahdin Family Dental LLC | Clinic/Center | 254 South St, Calais, ME 04619-1322 | 2018-09-17 |
| 1548752363 | Hygiene Health LLC | Clinic/Center | 74 State Rd Ste 202, Kittery, ME 03904-1562 | 2018-06-06 |
| 1891208120 | Westbrook Family Dentistry | Clinic/Center | 100 Larrabee Rd Ste 160, Westbrook, ME 04092-5111 | 2017-11-08 |
| 1487181723 | Robert E. Erickson, Dmd, Pllc | Clinic/Center | 12 Stillwater Ave Ste 6, Bangor, ME 04401-3984 | 2017-05-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.