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GORHAM FAMILY AND COSMETIC DENTISTRY PC NPI 1770831224


NPI Information

NPI: 1770831224
Provider Name: GORHAM FAMILY AND COSMETIC DENTISTRY PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
347 MAIN ST
GORHAM, ME
ZIP 04038
Phone: (207) 839-3006
Get Directions

GORHAM FAMILY AND COSMETIC DENTISTRY PC is a general practice dentist in Gorham, ME. The provider is 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. GORHAM FAMILY AND COSMETIC DENTISTRY PC NPI is 1770831224. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

347 MAIN ST
GORHAM, ME
ZIP 04038-338
Phone: (207) 839-3006
Fax: (207) 839-4593

The provider's authorized official is Christopher W Pidhajecky .
The authorized official title is Owner and has the following contact phone number (207) 839-3006.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice4251NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11235348749OTHERMAINEGENERAL DENTIST
21396853156OTHERMAINEGENERAL DENTIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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