DR. SHANNA LEIGH GAGNON (NPI# 1700810389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700810389 |
| Entity Type | Individual |
| Full Name | DR. SHANNA LEIGH GAGNON |
| Credential | D.M.D. |
| Practice Address |
14 Merrill St Farmingdale ME 04344-1622 |
| Mailing Address |
85 Stoneham Dr. W. Gardiner ME 04345-7515 |
| Practice Telephone | 2076263091 |
| Practice Fax Number | 2076225499 |
| Mailing Telephone | 2075828358 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3738 | ME | Dental Providers |
| Street Address |
14 MERRILL ST |
| City | FARMINGDALE |
| State | ME |
| Zip Code | 04344-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369542 | Jessica M Sikora | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2020-06-03 |
| 1023549615 | Gagnon Dental | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2017-03-24 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861848079 | Hi Dental, Pllc | Dentist | 154 S Front St, Farmingdale, NY 11735-2637 | 2016-05-05 |
| 1225400583 | Sherif Desouky Dds | Dentist | 918 Main St Ste 1, Farmingdale, NY 11735-5426 | 2015-10-27 |
| 1649402710 | Donald Michael Kahn | Dentist | 375 Fulton Street, Suite 1, Farmingdale, NY 11735-3454 | 2009-08-21 |
| 1437350972 | Robert C Distefano | Dentist | 3 Southard Avenue, Farmingdale, NJ 07727-1208 | 2007-05-31 |
| 1053454322 | Anthony Citriniti | Dentist | 475 Main Street, Suite 1e, Farmingdale, NY 11735 | 2007-02-15 |
| 1245381110 | Mark Howard Zwerin | Dentist | 101 Merritts Rd, Farmingdale, NY 11735-3157 | 2007-01-16 |
| 1831102334 | Norman William Lajoie | Dentist | 562 Maine Ave, Farmingdale, ME 04344-2916 | 2006-08-14 |
| 1396369542 | Jessica M Sikora | Dentist | 14 Merrill St, Farmingdale, ME 04344-1622 | 2020-06-03 |
| 1366926891 | 1037 Fulton Street Dental PC | Dentist | 1037 Fulton St, Farmingdale, NY 11735-4700 | 2018-09-20 |
| 1184022907 | Kane Dental of Farmingdale | Dentist | 1111 Broadhollow Rd, Suite 210, Farmingdale, NY 11735-4820 | 2014-12-10 |
| 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.