OrganizationActive
Kennebec Valley Family Dentistry
NPI 1114153939 · Point of Service · Augusta, ME
Provider details
- NPI number
- 1114153939
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kimberley Gordon, Executive Director(207) 623-3400
- License
- 3095 (ME)
Specialties & taxonomies
Managed Care Organizations
Practice location
269 Water St
Augusta, ME 04330-4645
Phone: (207) 623-3400
Fax: (207) 623-3440
Approximate (ZIP-level) locationGet directions
Mailing address
6 E Chestnut St Ste 420
Augusta, ME 04330-5743
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2019-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.