MICHAEL BRIAN HERSOM (NPI# 1952409880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952409880 |
| Entity Type | Individual |
| Full Name | MICHAEL BRIAN HERSOM |
| Credential | DMD |
| Practice Address |
1060 Commercial St Glen Cove Dental Associates, Pa Rockport ME 04856-3801 |
| Practice Telephone | 2075945500 |
| Practice Fax Number | 2075966349 |
| Mailing Telephone | 2075945500 |
| Mailing Fax Number | 2075966349 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3440 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BH4913263 | 01 |
| Street Address |
1060 COMMERCIAL ST GLEN COVE DENTAL ASSOCIATES, PA |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063510980 | Deborah W Endl | Dentist | 1060 Commercial St, Glen Cove Dental Associates, Pa, Rockport, ME 04856-3801 | 2006-09-21 |
| 1255823043 | Benjamin Lacy | Dentist | 1060 Commercial St, Rockport, ME 04856-3801 | 2018-06-06 |
| 1568697860 | Christina Lynn Tibbetts | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-16 |
| 1124253422 | Tracy Ann Cyr | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-16 |
| 1306070065 | Abby Mae Bellmore | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-11 |
| 1699909515 | Barbara Nadeau | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-06 |
| 1528292588 | Stephanie Vella | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-06 |
| 1639303746 | Elizabeth Powell Depalma | Dental Hygienist | 1060 Commercial St, Rockport, ME 04856-3801 | 2009-05-05 |
| 1013174622 | Midcoast Endodontics | Dentist | 1060 Commercial St, Suite 2, Rockport, ME 04856-3801 | 2008-05-21 |
| 1376756569 | Glen Cove Dental Associates, P.a. | Dentist | 1060 Commercial St, Rockport, ME 04856-3801 | 2007-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618297 | Youngjoon Lee Kim | Dentist | 2347 Tx-35 Bus, Rockport, TX 78382 | 2020-08-03 |
| 1871004812 | Sperry and Drake Dental Partnership | Dentist | 1406 Highway 35 N Ste C, Rockport, TX 78382-3329 | 2017-10-17 |
| 1881738722 | Ronald Wayne Ramey | Dentist | 1508 Highway 35 N, Rockport, TX 78382-3317 | 2007-02-16 |
| 1063510980 | Deborah W Endl | Dentist | 1060 Commercial St, Glen Cove Dental Associates, Pa, Rockport, ME 04856-3801 | 2006-09-21 |
| 1831208974 | David Jeremy Mills | Dentist | 1221 W Market St, Rockport, TX 78382-6209 | 2006-08-30 |
| 1891705067 | Bradley A Schultz | Dentist | 2827 Highway 35 N, Rockport, TX 78382-5712 | 2006-08-09 |
| 1528081312 | Philip Wayne Higgins Jr. | Dentist | 9 Applewood Rd, Rockport, ME 04856-5375 | 2006-07-25 |
| 1811994361 | Randal Thivierge | Dentist | 625 Rockland St, Rockport, ME 04856-5320 | 2005-06-30 |
| 1184239881 | Applewood Dental | Dentist | 9 Applewood Rd, Rockport, ME 04856-5375 | 2020-09-10 |
| 1699245589 | Paradigm Dental PC | Dentist | 10 Granite Way, Rockport, ME 04856-5747 | 2018-12-04 |
| Find all providers in ROCKPORT | ||||
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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.