NPI 1063729002

Gary Lee Creisher, DDS

Practitioner Pediatric Dentistry Kennebunk, ME

Practice location

Address: 31 York St, Kennebunk, ME 04043-7152
Phone: (207) 985-2800
Fax: (207) 985-7185

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence DEN3715 (ME)

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Registry record

NPI: 1063729002
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2010
Record last updated: 13 Sep 2010

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.