Gerard M Girardin DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2432 Issued in ME

Legal business name

GERARD M GIRARDIN DDS PA

Practice address

115 Park St
Livermore Falls, ME 04254-1412

Phone

(207) 897-4136

Fax

(207) 897-5720

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerard Martin Girardin Sr., D.D.S.

Title

President

Phone

(207) 897-4136

Specialties & licenses 1

Addresses

Other names 1

• GERARD M. GIRARDIN D.D.S. P.A. Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073672176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541412",
            "telephone_number": "207-897-4136",
            "fax_number": "207-897-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541412",
            "telephone_number": "207-897-4136",
            "fax_number": "207-897-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD M GIRARDIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRARDIN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-897-4136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERARD M. GIRARDIN D.D.S. P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bridget Eaton, LCSW, LADC
• Grace M. Eaton
• Ratchanu Phuthorn Everett, NP
• Dennis L Fitts
• Mary Lavina Fredricks, LCSW
• Richard Greene
• Jessica Griswold, CADC
• Audra Gurney
• Healthreach Community Health Centers (Western Maine Family Health Center)
• Holistic Support Services

• General Practice Dentistry in Livermore Falls, ME
• Providers in Livermore Falls, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.