Michael David Gillins, DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN4832 Issued in ME

Practice address

120 South St
Blue Hill, ME 04614-6120

Phone

(207) 374-5398

NPI assigned

Jul 10, 2012

Last updated

Mar 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgillins304613@direct.gundersenhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MDG Dental Ellsworth PA LLC

  dba Blue Hill Peninsula Dental

  • Dental Clinic/Center
  • Blue Hill, ME
  • NPI 1558966259
  NPD (past) Authorized official
• Blue Hill Family & Cosmetic Dentistry PA

  • Dentist
  • Blue Hill, ME
  • NPI 1275728495
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1528323102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1658",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046141658",
            "telephone_number": "207-374-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH ST",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146120",
            "telephone_number": "207-374-5398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 3rd St N",
            "address_purpose": "LOCATION",
            "city": "La Crosse",
            "state": "WI",
            "postal_code": "54601",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "USA MEDDAC BAVARIA",
            "address_2": "Unit 28038",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "09112",
            "country_code": "US",
            "telephone_number": "01149637194643965",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "GILLINS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN4832",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023735",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30.023735",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "1002001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Morgan Evans, L.AC., M.AC., LMT
• Laurie Farley, FNP
• Amelia Forman-Stiles, LCSW
• George Stevens Academy SBWC
• Carl A. Germann, MD
• Megan Rebecca Granger, LCPC
• Walter Ross Greenlaw Jr., D.M.D.
• Hannaford Bros. Co., LLC (Hannaford Supermarket & Pharmacy)
• Caryl Joan Heaton, D.O.
• Stacey Henner Walden, DO

• Dental Clinic/Center in Blue Hill, ME
• Providers in Blue Hill, 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 Mar 7, 2025; 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.