OrganizationActive
Gannett Drive Dental PLLC
NPI 1710755590 · Dental Clinic/Center · South Portland, ME
Provider details
- NPI number
- 1710755590
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Gagnon, Owner(603) 387-5658
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
324 Gannett Dr Ste 500
South Portland, ME 04106-3361
Phone: (207) 253-5600
Approximate (ZIP-level) locationGet directions
Mailing address
10 Susan Ave
Scarborough, ME 04074-9726
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.