Robert L Grace, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN01825 Issued in RI

Practice address

15 Oak St
Springvale, ME 04083-1926

Phone

(207) 490-6900

Fax

(207) 324-0546

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083647804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LOVE LN",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028522510",
            "telephone_number": "401-884-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831926",
            "telephone_number": "207-490-6900",
            "fax_number": "207-324-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF DENTAL EXAMINERS",
            "identifier": "DEN4223",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST & CONTROLLED SUB.",
            "identifier": "DEN01825",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RG33703",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Gaudissart
• Timothy F. Gauthier, CADC
• Golden Years Adult Day Care
• Crystal Ann Goodrich, OT
• Elise Grabowski, DMD
• William L. Grapentine, MD
• Maureen A. Green, CADC
• Valerie Dianni Grondin, MS, OTR/L
• Thomas Guerrette
• Janet A Hamilton, LMSWCC

• All providers in Springvale, ME
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.