Individual provider Active NPI

Grace Odimayo, DMD

  • General Practice Dentistry
  • Augusta, ME
National Provider Identifier
1326081076
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3705 Issued in ME
Practice address
250 Arsenal Street
11 SHS
Augusta, ME 04333-0001
Phone
(207) 624-4773
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3705 ME Primary

Addresses

Primary practice location

250 Arsenal Street
11 SHS
Augusta, ME 04333-0001

Mailing address

80 Parkwood Dr
Augusta, ME 04330-6253
Phone (207) 621-0398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326081076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PARKWOOD DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306253",
            "telephone_number": "207-621-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 ARSENAL STREET",
            "address_2": "11 SHS",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043330001",
            "telephone_number": "207-624-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIMAYO",
        "first_name": "GRACE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.