DR. GARY LEE CREISHER (NPI# 1063729002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063729002 |
| Entity Type | Individual |
| Full Name | DR. GARY LEE CREISHER |
| Credential | D.D.S. |
| Practice Address |
31 York St Kennebunk ME 04043-7152 |
| Practice Telephone | 2079852800 |
| Practice Fax Number | 2079857185 |
| Mailing Telephone | 2079852800 |
| Mailing Fax Number | 2079857185 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN3715 | ME | Dental Providers |
| Street Address |
31 YORK ST |
| City | KENNEBUNK |
| State | ME |
| Zip Code | 04043-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891023057 | York County Pediatric Dentistry | Clinic/Center | 31 York St, Kennebunk, ME 04043-7152 | 2009-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397032 | Savida Agency, Inc. | Psychiatry & Neurology | 21a Western Ave, Suite 1, Kennebunk, ME 04043 | 2019-07-02 |
| 1578018610 | Christine Fecko | Social Worker | 14 Summer Street, Kennebunk, ME 04043 | 2016-08-18 |
| 1861841785 | Sarah Pollack | Pharmacist | 18 Blue Wave Professional Center, Kennebunk, ME 04043 | 2016-06-10 |
| 1417305566 | You&me Psychological and Consultation Services (ypcs) | Psychologist | Room 201, 8-7, Yanghwaro 12gil, Mapo-gu, Seoul, KOREA 04043 | 2016-05-31 |
| 1679933972 | Kimberly Kasten | Physician Assistant | 2 Livewell Drive, South Tower, Suite 200, Kennebunk, ME 04043 | 2016-02-29 |
| 1033592837 | Rachel Lawson Orr | Clinical Neuropsychologist | Southern Maine Health Care Pediatrics, 3 Shape Drive, Kennebunk, ME 04043 | 2015-06-30 |
| 1447649280 | Mark Ouellette | Nurse Practitioner | 2 Livewell Drive - North Tower, Kennebunk, ME 04043 | 2015-01-16 |
| 1902155005 | Kristina Caron Occupational Therapy, LLC | Occupational Therapist | 27 Fletcher St Apt 2, Kennebunk, ME 04043 | 2012-09-05 |
| 1174838361 | Tracy Lynn Mason | Occupational Therapist | 87 Fletcher St., Maine Regional School Unit 21, Kennebunk, ME 04043 | 2010-08-11 |
| 1538392261 | Susanne Randall | In Home Supportive Care | 3 Elannas Way, Kennebunk, ME 04043 | 2009-08-28 |
| Find all providers in zip 04043 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902940364 | York County Pediartic Dentistry, Pa | Dentist | 5 Webhannet Pl, Suite 1, Kennebunk, ME 04043-7275 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632997 | Dirigo Pediatric Dentistry | Dentist | 701 Us Route 1 Ste 3, Yarmouth, ME 04096-6927 | 2019-01-09 |
| 1467835678 | Mainely Kids & Teens, LLC | Dentist | One Cumberland Pl, Ste 116, Bangor, ME 04401-5083 | 2015-07-07 |
| 1386931376 | Coastal Maine Pediatric Dentistry | Dentist | 84 Baribeau Dr, Brunswick, ME 04011-3218 | 2011-06-29 |
| 1225222698 | Emily B Scholl | Dentist | 80 Pleasant St, Brunswick, ME 04011-2203 | 2007-08-29 |
| 1023131679 | Jonathan D Shenkin | Dentist | 792 Stillwater Ave, Bangor, ME 04401-3617 | 2007-04-09 |
| 1366574675 | Just for Kids Pediatric Dentistry, Pa | Dentist | 313 Us Route 1, Scarborough, ME 04074-9701 | 2007-03-12 |
| 1215093018 | John M Willis | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2006-12-28 |
| 1841380037 | Linda A Eberhardt | Dentist | 24 Penn Plaza, Bangor, ME 04401 | 2006-10-16 |
| 1194810143 | Sheila L Brijade | Dentist | 1048 Union Street, Bangor, ME 04401 | 2006-10-04 |
| 1568485019 | Malcolm Stuart Foster | Dentist | 85 Baribeau Dr, Brunswick, ME 04011-3249 | 2006-07-25 |
| 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.