Madison Gentle Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MADISON GENTLE FAMILY DENTISTRY LLC

Doing business as

Gentle Family Dentistry - Madison

Practice address

21 Old Point Ave
Madison, ME 04950-1114

Phone

(207) 696-4681

Fax

(207) 696-4275

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David LeeNPI 1770189672

Title

Coo

Phone

(732) 207-1689

Specialties & licenses 1

Addresses

Other names 1

• Gentle Family Dentistry - Madison Doing business as

Practitioners 4

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.

• David Lee, R.PH

  • Pharmacist
  • Springfield, NJ
  • NPI 1770189672
  Authorized official Same address or phone
• Leann Hewey

  • Dental Hygienist
  • Madison, ME
  • NPI 1154161925
  NPD
• Isaac Kim, DMD

  • General Practice Dentistry
  • Madison, ME
  • NPI 1538731799
  NPD
• Andrew D Friedman, D.M.D.

  • General Practice Dentistry
  • Madison, ME
  • NPI 1548355845
  NPD (past)

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1710799457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BRIDGTON RD STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923754",
            "telephone_number": "732-207-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD POINT AVE",
            "city": "MADISON",
            "state": "ME",
            "postal_code": "049501114",
            "telephone_number": "207-696-4681",
            "fax_number": "207-696-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON GENTLE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-207-1689"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Family Dentistry - Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Knapp, M.D.
• Dustin Kniffin, D.C.
• Robin M Konieczko, MA,CCC,SLP
• Michele Leblanc
• Douglas L Libby Jr., MA LCPC
• Maine School Administrative District 59
• Jeffrey Marston, TTS-C,MSPSY
• Lisa B Miller, OT883
• Christy L Morgan, SAS2155
• Mountain Range of Motion, LLC

• Dental Clinic/Center in Madison, ME
• Providers in Madison, 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 Jan 21, 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.