GREGORY V SARKA (NPI# 1043200868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043200868 |
| Entity Type | Individual |
| Full Name | GREGORY V SARKA |
| Credential | DDS,MD |
| Practice Address |
244 Kennedy Memorial Dr Waterville ME 04901-4538 |
| Practice Telephone | 2078730117 |
| Practice Fax Number | 2078727553 |
| Mailing Telephone | 2078730117 |
| Mailing Fax Number | 2078727553 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2014-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3720 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MEDICARE | ME0736 | 01 |
| Street Address |
244 KENNEDY MEMORIAL DR |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147222 | Anthony Lee Sintetos | Internal Medicine | 244 Kennedy Memorial Dr, First Floor, Waterville, ME 04901-4538 | 2005-07-13 |
| 1366854838 | Gregory V. Sarka D.d.s., M.d., L.L.C. | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2014-06-02 |
| 1366883670 | Syed Iqbql Rahmatullah | Internal Medicine | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2013-07-15 |
| 1548456866 | Head and Neck Surgical Associates | Otolaryngology | 244 Kennedy Memorial Dr, Suite G, Waterville, ME 04901-4538 | 2007-09-20 |
| 1588725246 | C. V. Diagnostics, Inc. | Clinic/Center | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-12-13 |
| 1760420756 | Thomas John Fiola | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-06-03 |
| 1194772426 | Mid-maine Oral and Maxillofacial Surgery Pa | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366854838 | Gregory V. Sarka D.d.s., M.d., L.L.C. | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2014-06-02 |
| 1760420756 | Thomas John Fiola | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-06-03 |
| 1194772426 | Mid-maine Oral and Maxillofacial Surgery Pa | Dentist | 244 Kennedy Memorial Dr, Waterville, ME 04901-4538 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922333202 | John S Largey | Dentist | 885 Union St Ste 225, Bangor, ME 04401-3074 | 2009-10-05 |
| 1790911121 | Eron Charles Aldridge | Dentist | 8 Penn Plz, Bangor, ME 04401-3620 | 2009-05-29 |
| 1669652764 | Bruce Allan Mason | Dentist | 139 Poplar Hill Rd, Turner, ME 04282-3828 | 2007-11-07 |
| 1578771465 | Northern Maine Oral & Facial Surgery Pa | Dentist | 181 Academy Street, Suite #1, Presque Isle, ME 04769-3178 | 2007-05-21 |
| 1588876908 | Grace Thomas | Dentist | 171 Maine Mall Rd, South Portland, ME 04106-2310 | 2007-05-06 |
| 1407070006 | Facial and Oral Surgery Associates | Dentist | 5 Community Dr, Augusta, ME 04330-8087 | 2007-04-13 |
| 1922154095 | Edward August Laga Jr. | Dentist | 175 Academy St, Suite 1, Presque Isle, ME 04769-3103 | 2007-01-25 |
| 1831249648 | John E Royal | Dentist | 97 Beechland Rd., Box 518, Ellsworth, ME 04605 | 2007-01-12 |
| 1609938406 | Henry C Ford | Dentist | 181 Academy St Ste 1, Presque Isle, ME 04769-3178 | 2006-12-15 |
| 1982763801 | Central Maine Oral & Maxillofacial Surgery Associates, Pa | Dentist | 405 Center Street, Auburn, ME 04210 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.