OrganizationActive
Kennebec Valley Family Dentistry
NPI 1114153939 · Point of Service · Augusta, ME
Kennebec Valley Family Dentistry is a Point of Service organization in Augusta, ME (NPI 1114153939).
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
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
269 Water St
Augusta, ME 04330-4645
Phone: (207) 623-3400
Fax: (207) 623-3440
Street-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
Frequently asked questions
- What is Kennebec Valley Family Dentistry's NPI number?
- Kennebec Valley Family Dentistry's National Provider Identifier (NPI) is 1114153939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennebec Valley Family Dentistry?
- Kennebec Valley Family Dentistry is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Kennebec Valley Family Dentistry located?
- Kennebec Valley Family Dentistry's practice location on file with NPPES is 269 Water St, Augusta, ME 04330-4645.
- What is Kennebec Valley Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Kennebec Valley Family Dentistry is (207) 623-3400.
- Who is the authorized official for Kennebec Valley Family Dentistry?
- The authorized official listed on Kennebec Valley Family Dentistry's NPPES record is Kimberley Gordon, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennebec Valley Family Dentistry's NPI active?
- Yes — Kennebec Valley Family Dentistry's NPI (1114153939) is active in the NPPES registry as of the last update on 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.