Samantha Jamie Gray, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4071 Issued in ME

Practice address

2370 Route 2
Hermon, ME 04401-0622

Phone

(207) 605-0220

NPI assigned

Jun 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1982863486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 ROUTE 2",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010622",
            "telephone_number": "207-605-0220",
            "fax_number": "207-605-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ROUTE 2",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010622",
            "telephone_number": "207-605-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SAMANTHA",
        "middle_name": "JAMIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Getchell, PA-C
• Marcia Merceille Gilbert, MS, CCC/A
• Kaitlin Jean Glidden, OTR/L
• Georgia Goodrich, PTA
• Samantha Mae Goodwin, OTA
• Sheridan Louise Hanlon, COTA/L
• Riley Dana-Marie Hanson
• Lacey Henderson
• Hermon Family Dental, PA
• Hermon Volunteer Rescue and First Aid Squad, Inc

• Dentist in Hermon, ME
• Providers in Hermon, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.