Elise Grabowski, DMD
Individual provider Active NPI Dentist · Springvale, ME
NPI 1497596035 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1497596035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN5152 (ME)
- Practice address
- 15 Oak St
Springvale, ME 04083-1926 - Phone
- (207) 490-6900
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812003358 | ME | Practitioner - Dentist | 7810435658 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5152 | ME | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York County Community Action Corp | Current |
Accepting new patients | |
| York County Community Action Corp | Current |
Accepting new patients |
Locations
15 Oak St
Springvale, ME 04083
Phone (207) 490-6900
Interoperability endpoints
- elise.grabowski.p1@direct.nassonhealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN5152 | ME | Yes |
Addresses
Primary practice location
15 Oak St
Springvale, ME 04083-1926
Mailing address
15 Oak St
Springvale, ME 04083-1926
Other providers in Springvale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.