Gabrielle Demille, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04306 Issued in NH

Practice address

652 Lafayette Rd
Seabrook, NH 03874-4345

Phone

(603) 760-7355

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497571200000",
    "number": "1811037674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ZACHERY LANE",
            "city": "NEWTON",
            "state": "NH",
            "postal_code": "03858",
            "telephone_number": "603-706-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 LAFAYETTE RD",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744345",
            "telephone_number": "603-760-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMILLE",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19849",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa N Conant, DC
• Donna Quinn Corriveau
• CVS Manchester NH, L.L.C. (CVS Pharmacy # 00503)
• Rebecca J Cyr
• DC Eye Associates, P.L.L.C. (Elite Eye Center)
• Cassaundra Lynn Depierre, CLC LNA
• Cerissa Leigh Desrosiers, PSY.D.
• Elizabeth Macdonald Devaney, RD
• Apurva Dhengle, DDS
• Diversity Outreach Services, LLC

• General Practice Dentistry in Seabrook, NH
• Providers in Seabrook, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.