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NPI 1861125940

IndividualActive

Andrew Athanathious, DMD

NPI 1861125940 · General Practice Dentistry · Gorham, ME

Provider details

NPI number: 1861125940
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: No
License: DEN4989 (ME)

Practice location

77 South St

Gorham, ME 04038-1715

Phone: (207) 222-0522

More ME providers

Mailing address

723 Riverside St Apt 434

Portland, ME 04103-5937

Registry dates

Enumerated: 2022-07-06
Last updated: 2022-07-06

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

Andrew Athanathious, DMD — NPI 1861125940, Gorham, ME | NPI Central