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KENNEBEC VALLEY FAMILY DENTISTRY
NPI 1114153939
Point of Service in Augusta, ME

Active since June 08, 2009
269 WATER ST, AUGUSTA, ME 04330(207) 623-3400(207) 623-3440 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennebec Valley Family Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEBEC VALLEY FAMILY DENTISTRY (NPI 1114153939) is a healthcare organization registered as a point of service in Augusta, Maine and active in the NPI registry since June 2009. The organization lists Kimberley Gordon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114153939
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameKENNEBEC VALLEY FAMILY DENTISTRY
Location Address269 WATER STAugusta, ME 04330-4645
Mailing Address6 E Chestnut St Ste 420Augusta, ME 04330-5743 · (207) 623-3400 · Fax (207) 623-3440
Phone(207) 623-3400
Fax(207) 623-3440
Organization SubpartNo
Authorized OfficialKimberley GordonExecutive Director · (207) 623-3400
Enumeration DateJune 8, 2009
Last NPPES UpdateNovember 20, 2019
✔ NPI 1114153939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in ME · 3095
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
269 WATER ST, Augusta, ME 04330
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND SCOTT CUNNINGHAM DDS
Dentist (General Practice)
269 WATER ST
AUGUSTA, ME 04330
Kennebec County (207) 623-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennebec Valley Family Dentistry's NPI number?

The NPI number for Kennebec Valley Family Dentistry is 1114153939. It was assigned to this organization in the NPPES registry on June 8, 2009.

Where is Kennebec Valley Family Dentistry located?

Kennebec Valley Family Dentistry is located at 269 Water St, Augusta, ME 04330. The listed phone number is (207) 623-3400.

What is Kennebec Valley Family Dentistry's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Kennebec Valley Family Dentistry was last updated on November 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.