Gorham Village Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GORHAM VILLAGE DENTAL LLC

Practice address

77 South St
Gorham, ME 04038-1715

Phone

(207) 642-4300

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Cory Murray, DDSNPI 1750792206

Title

Co-Owner

Phone

(207) 642-4300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Murray, D.D.S.

  • General Practice Dentistry
  • Standish, ME
  • NPI 1750792206
  Authorized official Same address or phone

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1174184253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SOUTH ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381715",
            "telephone_number": "207-642-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SOUTH ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381715",
            "telephone_number": "207-642-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORHAM VILLAGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "207-642-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gorham Family and Cosmetic Dentistry PC
• Gorham Health Care Inc
• Gorham Primary Care PC
• Gorham School Department
• Gorham School Department
• Pamela Graves, CST AS-C
• Jacob David Gregoire
• Christopher Robert Guido, RPH
• Peter Anthony Guilfoyle, PA-C
• Tin Ha Ngoc, MD

• Dental Clinic/Center in Gorham, ME
• Providers in Gorham, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.