GAGNON DENTAL (NPI# 1023549615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023549615 |
| Entity Type | Organization |
| Organization Name | GAGNON DENTAL |
| Practice Address |
14 Merrill St Farmingdale ME 04344-1622 |
| Practice Telephone | 2076263091 |
| Practice Fax Number | 2076225499 |
| Mailing Telephone | 2076263091 |
| Mailing Fax Number | 2076225499 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | NATHAN CURTIS (MANAGER) |
| Authorized Official Telephone | 2076263091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3738 | ME | Dental Providers |
| Street Address |
14 MERRILL ST |
| City | FARMINGDALE |
| State | ME |
| Zip Code | 04344-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700810389 | Shanna Leigh Gagnon | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2006-07-10 |
| 1396369542 | Jessica M Sikora | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2020-06-03 |
| 1740415363 | Donald J. Gagnon Dmd Pa | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2009-05-27 |
| 1801020136 | Elaine C Quinn | Dental Hygienist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2009-05-14 |
| 1952535304 | Julie Gosline Bolster | Dental Hygienist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2009-05-13 |
| 1265695365 | Carolyn Juliette Morin | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2008-07-08 |
| 1194809913 | Donald Joseph Gagnon | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881637114 | Michele G Stevens | Physical Therapist | 14 2nd St, Farmingdale, ME 04344 | 2006-06-14 |
| 1588172811 | Maura Stottler | Specialist/Technologist | 687 Maine Ave, Farmingdale, ME 04344-1526 | 2018-01-22 |
| 1043287485 | Davis Long Term Care Group Inc | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2006-03-03 |
| 1346605896 | Dltc Healthcare LLC | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2015-12-29 |
| 1780885806 | Davis Long Term Care Group Inc | Assisted Living Facility | 647 Maine Ave, Farmingdale, ME 04344-1526 | 2007-05-29 |
| 1861859662 | Jennifer Leigh Hall | Social Worker | 227 Park St, Farmingdale, ME 04344-1527 | 2016-01-25 |
| 1629090519 | Ida M. Gammon-wilson | Massage Therapist | 690 Maine Ave, Farmingdale, ME 04344-1539 | 2006-07-23 |
| 1578893905 | Diane Smith | Developmental Therapist | 15 Beech St, Farmingdale, ME 04344-1603 | 2010-01-07 |
| 1295395846 | Courtney Ross | Occupational Therapist | 15 Hasson St # 1613, Farmingdale, ME 04344-1613 | 2019-06-17 |
| 1760514954 | Lisa M Mazzola | Occupational Therapist | 15 Hasson St, Farmingdale, ME 04344-1613 | 2007-03-12 |
| Find all providers in zip 04344 | ||||
| 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 |
|---|---|---|---|---|
| 1972950244 | Josiane Chrisphonte | Dentist | 4 Melody Dr, Farmingdale, NY 11735-6420 | 2016-05-17 |
| 1235430679 | John J Gabrielli | Dentist | 48 Mckinley Ave, Farmingdale, NY 11735-3318 | 2010-11-16 |
| 1598986820 | Charles Steven Axelrad | Dentist | 260 Merritts Rd, Farmingdale, NY 11735-3200 | 2007-05-02 |
| 1770605669 | Paul Angelo Perciballi | Dentist | 234 Airport Plaza Blvd, Suite 3, Farmingdale, NY 11735-3917 | 2007-04-04 |
| 1184742777 | Shanthi Kumari Haupage | Dentist | 297 Main St, Farmingdale, NY 11735-3589 | 2007-03-26 |
| 1710010582 | Peter R Scelfo | Dentist | 863 Fulton St., Farmingdale, NY 11735-3600 | 2007-03-13 |
| 1265564843 | Howard J Modiano | Dentist | 145 Merritts Rd, Farmingdale, NY 11735-3261 | 2007-03-10 |
| 1891802260 | Kahn, Ferrari, &, Aldieri, Dds,.llc | Dentist | 375 Fulton St, Farmingdale, NY 11735-3454 | 2006-08-23 |
| 1396751566 | Louis Leonard Larocco | Dentist | 2 Joseph Ln, Farmingdale, NY 11735-6001 | 2006-07-31 |
| 1538159181 | Munzer Basheer Kara | Dentist | 1111 Broadhollow Rd, Suite 104, Farmingdale, NY 11735-4820 | 2005-10-25 |
| Find all providers in FARMINGDALE | ||||
| City | FARMINGDALE |
| Zip Code | 04344 |
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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.