Dr. Gary Lee Creisher
Pediatric Dentist
31 York St
Kennebunk
, Maine 04043-7152
Dr. Gary Lee Creisher
Pediatric Dentist
31 York St
Kennebunk
, Maine 04043-7152
(207) 985-7185
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Gary Lee Creisher
- 31 York St
- Kennebunk, ME
- Zip : 04043-7152
- Fax : (207) 985-7185
- Phone : (207) 985-2800
Second Address
- Dr. Gary Lee Creisher
- 31 York St
- Kennebunk, ME
- Zip : 04043-7152
- Fax : (207) 985-7185
- Phone : (207) 985-2800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | DEN3715 | ME |
National Provider Identifier
| NPI | 1063729002 |
|---|---|
| Provider Name | Dr. Gary Lee Creisher |
| First Address | Kennebunk, ME 04043-7152 |
| Second Address | Kennebunk, ME 04043-7152 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2010 |
| Last Update Date | 13/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.