York County Pediartic Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3715 Issued in ME

Legal business name

YORK COUNTY PEDIARTIC DENTISTRY, PA

Practice address

5 Webhannet PL
Suite 1
Kennebunk, ME 04043-7275

Phone

(207) 985-2800

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Gary Lee Creisher, DDS

Title

Owner

Phone

(207) 985-2800

Specialties & licenses 1

Addresses

Other names 1

• GARY L. CREISHER, DDS Other name

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1902940364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SIDE A BROOK LN",
            "city": "SHAPLEIGH",
            "state": "ME",
            "postal_code": "040763453",
            "telephone_number": "207-636-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WEBHANNET PL",
            "address_2": "SUITE 1",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437275",
            "telephone_number": "207-985-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK COUNTY PEDIARTIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-04-17",
        "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_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARY L. CREISHER, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• Pediatric Dentistry in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.