Active NPI
Gabriel Patrick Valley, DMD
- General Practice Dentistry
- Lincoln, ME
National Provider Identifier
1982397519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN5041
- Practice address
- 168 W Broadway
Lincoln, ME 04457-4003 - Phone
- (207) 794-6577
- NPI assigned
- May 30, 2023
- Last updated
- May 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN5041 | ME | Primary |
Addresses
Primary practice location
168 W Broadway
Lincoln, ME 04457-4003
Mailing address
521 Mann Hill Rd
Holden, ME 04429-7211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5041 | ME | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Dental, PLLC | Current | Accepting new patients |
Locations
168 W Broadway
Lincoln, ME 04457
Phone (207) 794-6577
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1982397519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MANN HILL RD",
"city": "HOLDEN",
"state": "ME",
"postal_code": "044297211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 W BROADWAY",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044574003",
"telephone_number": "207-794-6577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEY",
"first_name": "GABRIEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "DEN5041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Town of Lincoln
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- Alfred H. Vandine Jr., LCPC-C
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1919)
- Walgreen Eastern Co Inc (Walgreens #17147)
- Veronica Wallace-Ewing
- Mark B Weatherbee, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.