Organization Active NPI

Previta Oral Health Institute LLC

  • Dental Hygienist
  • Gorham, ME
National Provider Identifier
1700780806
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
PREVITA ORAL HEALTH INSTITUTE LLC
Practice address
130 Main St
Gorham, ME 04038-1319
Phone
(781) 518-1334
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Diego Barbosa Da Silva, RDH, IPDHNPI 1407760721
Title
Dental Hygienist
Phone
(781) 518-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X NU Primary

Addresses

Primary practice location

130 Main St
Gorham, ME 04038-1319

Mailing address

439 US Route 1 Ste a
York, ME 03909-1638
Phone (781) 518-1334

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1700780806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 US ROUTE 1 STE A",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091638",
            "telephone_number": "781-518-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381319",
            "telephone_number": "781-518-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVITA ORAL HEALTH INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-04",
        "status": "A",
        "authorized_official_last_name": "BARBOSA DA SILVA",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "781-518-1334",
        "authorized_official_credential": "RDH, IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.