DR. ROBERT L GRACE (NPI# 1083647804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083647804 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L GRACE |
| Credential | DMD |
| Practice Address |
15 Oak St Springvale ME 04083-1926 |
| Mailing Address |
44 Love Ln North Kingstown RI 02852-2510 |
| Practice Telephone | 2074906900 |
| Practice Fax Number | 2073240546 |
| Mailing Telephone | 4018848289 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN01825 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINE BOARD OF DENTAL EXAMINERS | DEN4223 | 01 |
| RI | DENTIST & CONTROLLED SUB. | DEN01825 | 01 |
| ME | DEA | BG5600970 | 01 |
| RI | RG33703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386919520 | Robert W Grace | Chiropractor | 88 Valley Rd, Middletown, RI 02842-5237 | 2012-03-21 |
| 1710927843 | Robert Mark Grace | Dentist | Community Health Center, 400 Teagarden, La Porte, IN 46350-3175 | 2006-06-07 |
| 1114130960 | Robert Joseph Grace | Dentist | 158 E 115th St, Suite 222, New York, NY 10029-2031 | 2007-05-08 |
| 1164555405 | Robert Davis Grace | Chiropractor | 3800 Pleasant Hill Rd, Suite 3, Duluth, GA 30096-1428 | 2007-03-14 |
| Street Address |
15 OAK ST |
| City | SPRINGVALE |
| State | ME |
| Zip Code | 04083-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811543010 | Stephen Morley | Nurse Practitioner | 15 Oak St, Springvale, ME 04083-1926 | 2019-08-13 |
| 1710544812 | Ayla Hope Nelson | Dentist | 15 Oak St, Springvale, ME 04083-1926 | 2019-05-23 |
| 1710442868 | Anne Marie Garnsey | Nurse Practitioner | 15 Oak St, Springvale, ME 04083-1926 | 2019-02-04 |
| 1457837999 | Peter Ver Ploeg | Dentist | 15 Oak St, Springvale, ME 04083-1926 | 2018-07-18 |
| 1457862450 | Melissa Bicknell | Nurse Practitioner | 15 Oak St, Springvale, ME 04083-1926 | 2017-10-17 |
| 1326413832 | Marcie Ellis Butkovic | Nurse Practitioner | 15 Oak St, Springvale, ME 04083-1926 | 2015-12-09 |
| 1700283157 | Peter K Edison | Family Medicine | 15 Oak St, Springvale, ME 04083-1926 | 2014-12-01 |
| 1700217080 | York County Community Action Corp | Clinic/Center | 15 Oak St, Springvale, ME 04083-1926 | 2013-12-11 |
| 1093085722 | Janet A Hamilton | Social Worker | 15 Oak St, Springvale, ME 04083-1926 | 2012-01-11 |
| 1922328285 | Marianne Borgo-ledue | Counselor | 15 Oak St, Springvale, ME 04083-1926 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1154604288 | Sanford Family Eyecare PC | Optometrist | 462 Main St Ste 2, Springvale, ME 04083 | 2011-09-26 |
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1093968943 | York County Community Action Corps | Case Management | 6 Merrill Street, Springvale, ME 04083 | 2008-10-23 |
| 1518022870 | Paul M Basko | Chiropractor | 596 Main Street, Springvale, ME 04083 | 2006-12-27 |
| 1578627493 | Celia R Thibodeau | Acupuncturist | 554 Main Street, Springvale, ME 04083 | 2006-12-22 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1477976397 | Shayne Croy | Social Worker | 469 Main St Ste 304, Springvale, ME 04083 | 2014-01-29 |
| 1770897415 | John Joseph Kiernan | Pharmacist | 464 Main St, Springvale, ME 04083 | 2010-08-05 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| Find all providers in zip 04083 | ||||
| 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 |
|---|---|---|---|---|
| 1457837999 | Peter Ver Ploeg | Dentist | 15 Oak St, Springvale, ME 04083-1926 | 2018-07-18 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1821219387 | Donald Prescott Warner | Dentist | 509 Main Street, Springvale, ME 04083-0145 | 2007-05-01 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| 1053411306 | Rosenberg & Knudsen LLC | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| 1114027463 | Frederick Ira Rosenberg | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1124644950 | Robert Thibeault Brookings | Dentist | 39 Grove Street, Bangor, ME 04401-5309 | 2020-06-17 |
| 1811529522 | Wagner Auguste Dental Pllc | Dentist | 206 High St Ste D, Ellsworth, ME 04605-1741 | 2020-02-11 |
| 1912537739 | Center for Advanced Dentistry of Yarmouth | Dentist | 45 Forest Falls Dr Ste B3, Yarmouth, ME 04096-6999 | 2020-01-21 |
| 1548822596 | Eric L Bolduc | Dentist | 206 High St, Ellsworth, ME 04605-1741 | 2019-06-30 |
| 1033778246 | Alex Boucher | Dentist | 309 Saint Thomas St Ste 213, Madawaska, ME 04756-1278 | 2019-06-11 |
| 1659939098 | Valerie Anne Lariviere | Dentist | 813b Main St, Waterboro, ME 04087-3006 | 2019-05-31 |
| 1427611144 | S & S Dental Group | Dentist | 2 Livewell Dr Apt 105, Kennebunk, ME 04043-6763 | 2019-04-18 |
| 1477030815 | Benjamin William Manter | Dentist | 57 Silver St Apt 4, Waterville, ME 04901-6515 | 2018-07-27 |
| 1386138394 | Robert Grant Belanger II | Dentist | 681 Augusta Rd, Belmont, ME 04952-3023 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVALE |
| Zip Code | 04083 |
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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.