Active NPI
Previta Oral Health Institute LLC
- Dental Hygienist
- Gorham, ME
National Provider Identifier
1700780806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diego Barbosa Da Silva, RDH, IPDH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Dental Hygienist
- Gorham, ME
- NPI 1407760721
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.