Active NPI
Comeau Family Dentistry
- General Practice Dentistry
- Havre de Grace, MD
National Provider Identifier
1972408128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- COMEAU FAMILY DENTISTRY
- Practice address
- 736 Revolution St
Havre de Grace, MD 21078-3322 - Phone
- (410) 939-3890
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 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
- Dr. Kimberley Comeau
- Title
- Owner
- Phone
- (410) 939-3890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
736 Revolution St
Havre de Grace, MD 21078-3322
Mailing address
736 Revolution St
Havre de Grace, MD 21078-3322
Phone (410) 939-3890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1972408128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783322",
"telephone_number": "410-939-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 REVOLUTION ST",
"city": "HAVRE DE GRACE",
"state": "MD",
"postal_code": "210783322",
"telephone_number": "410-939-3890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMEAU FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "COMEAU",
"authorized_official_first_name": "KIMBERLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-939-3890",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre de Grace, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.