York County Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN3715 Issued in ME

Legal business name

YORK COUNTY PEDIATRIC DENTISTRY

Practice address

31 York St
Kennebunk, ME 04043-7152

Phone

(207) 985-2800

Fax

(207) 985-7185

NPI assigned

Nov 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lee Creisher, D.D.S.NPI 1063729002

Title

Owner

Phone

(207) 985-2800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Lee Creisher, D.D.S.

  • Pediatric Dentistry
  • Kennebunk, ME
  • NPI 1063729002
  NPD (past) Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1891023057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 YORK ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437152",
            "telephone_number": "207-985-2800",
            "fax_number": "207-985-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 YORK ST",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437152",
            "telephone_number": "207-985-2800",
            "fax_number": "207-985-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "CREISHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-985-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ME",
            "license": "DEN3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance M Wood, LCSW
• Alena E Woods, CF-SLP
• WSSH Powerback Rehabilitation Services, LLC
• Ross G Wyman, DDS
• York County Pediartic Dentistry, PA
• York Hospital
• Yun Garrison PLLC
• Mary I. Zachary-Lang, LCPC
• Jessica Rae Zwirn, M.A. SLP-CCC

• Dental Clinic/Center in Kennebunk, ME
• Providers in Kennebunk, 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 Nov 30, 2009; 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.