NPI 1902940364
York County Pediartic Dentistry, PA
Practice location
- Address
- 5 Webhannet Pl Suite 1, Kennebunk, ME 04043-7275
- Phone
- (207) 985-2800
- Mailing address
- 16 Side a Brook Ln, Shapleigh, ME 04076-3453
Authorised official
- Name
- Gary Lee Creisher
- Title
- Owner
- Phone
- (207) 985-2800
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1902940364
- Entity type
- Organization
- NPI issued
- 19 Feb 2007
- Record last updated
- 17 Apr 2012
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.