| Gary L. Creisher, Dds | |
|
5 Webhannet Pl Suite 1 Kennebunk ME 04043-7275 | |
| (207) 985-2800 | |
| Not Available |
| Full Name | Gary L. Creisher, Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5 Webhannet Pl, Kennebunk, Maine |
| Authorized Official Name and Position | Gary Lee Creisher (OWNER) |
| Authorized Official Contact | 2079852800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L. Creisher, Dds 16 Side A Brook Ln Shapleigh ME 04076-3453 Ph: (207) 636-9851 | Gary L. Creisher, Dds 5 Webhannet Pl Suite 1 Kennebunk ME 04043-7275 Ph: (207) 985-2800 |
| NPI Number | 1902940364 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 04/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902940364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3715 (Maine) | Primary |
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