Glen Cove Dental Associates, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLEN COVE DENTAL ASSOCIATES, P.A.

Practice address

1060 Commercial St
Rockport, ME 04856-3801

Phone

(207) 596-6349

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Paradis

Title

Cfo

Phone

(207) 754-5444

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy L Campbell, DMD

  • General Practice Dentistry
  • Rockport, ME
  • NPI 1356440200
  NPD (past)
• Deborah W Endl, DMD

  • General Practice Dentistry
  • Rockport, ME
  • NPI 1063510980
  NPD (past)
• Michael Brian Hersom, DMD

  • General Practice Dentistry
  • Rockport, ME
  • NPI 1952409880
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376756569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-596-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048563801",
            "telephone_number": "207-596-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN COVE DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARADIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-754-5444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Elayne Gaylor, LCSW
• Tyler Andrew Giberson, MD
• Linda S Gifford, DO
• Peter E Giustra, M.D.
• Rebecca Gleeson
• Glen Cove Internal Medicine, LLC
• Allison Elsbeth Gold, AGPCNP-BC
• Jennifer Hope Goldberg, MD
• Peter Thomas Gonnella, M.D.
• C. Lee Goss, PSY.D, NCSP

• General Practice Dentistry in Rockport, ME
• Providers in Rockport, 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.