NPI 1114153939

Kennebec Valley Family Dentistry

Organisation Point of Service Augusta, ME

Practice location

Address: 269 Water St, Augusta, ME 04330-4645
Phone: (207) 623-3400
Fax: (207) 623-3440
Mailing address: 6 E Chestnut St STE 420, Augusta, ME 04330-5743

Authorised official

Name: Kimberley Gordon
Title: Executive Director
Phone: (207) 623-3400

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 3095 (ME)

Other Point of Service providers in Maine →

Registry record

NPI: 1114153939
Entity type: Organization
NPI issued: 8 Jun 2009
Record last updated: 20 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.