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NPI 1174184253

OrganizationActive

Gorham Village Dental LLC

NPI 1174184253 · Dental Clinic/Center · Gorham, ME

Provider details

NPI number: 1174184253
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Cory Murray, Co-Owner(207) 642-4300

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

77 South St

Gorham, ME 04038-1715

Phone: (207) 642-4300

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

77 South St

Gorham, ME 04038-1715

Registry dates

Enumerated: 2019-06-27
Last updated: 2019-06-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gorham Village Dental LLC — NPI 1174184253, Gorham, ME | NPI Central