- Practice location
- 240 Mosher RD, Gorham, ME 04038-5835
- Phone
- 207-298-0430
- Fax
- 207-298-0430
- Last updated
- May 27, 2026
Emmanuel Theodory Dezdel is a Chore Provider based in Gorham, ME. Emmanuel Theodory Dezdel practices in Gorham, ME. The NPI Number for Emmanuel Theodory Dezdel is 1508794496. The current practice location address for Emmanuel Theodory Dezdel is 240 Mosher RD, Gorham, ME 04038-5835 and can be reached out via phone at 207-298-0430 and via fax at 207-298-0430.
Provider Profile Details
- NPI Number
- 1508794496
- Provider Name
- Emmanuel Theodory Dezdel
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 240 Mosher RD, Gorham, ME 04038-5835
- Phone Number
- 207-298-0430
- Fax Number
- 207-298-0430
- Primary Taxonomy
- Chore Provider · 372500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2026
- Last Update Date
- May 27, 2026
- Certification Date
- May 27, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 240 Mosher RD
Gorham, ME 04038-5835 - City
- Gorham
- State
- Maine
- Zip
- 04038-5835
- Phone Number
- 207-298-0430
- Fax Number
- 207-298-0430
Provider Business Mailing Address Details
- Address
- 240 Mosher RD
Gorham, ME 04038-5835 - City
- Gorham
- State
- ME
- Zip
- 04038-5835
- Phone Number
- 207-298-0430
- Fax Number
- 207-298-0430
License Information
- License State (1)
- ME
- Taxonomy (1)
- Case Manager/Care Coordinator · 171M00000X
- License State (2)
- ME
- Taxonomy (2)
- Adult Companion · 372600000X
- License State (3)
- ME
- Taxonomy (3)
- Day Training/Habilitation Specialist · 373H00000X
- License State (4)
- ME
- Taxonomy (4)
- Technician, Personal Care Attendant · 3747P1801X
- License State (5)
- ME
- Taxonomy (5)
- Homemaker · 376J00000X
- License State (6)
- ME
- Taxonomy (6)
- Chore Provider · 372500000X · Primary
- License State (7)
- ME
- Taxonomy (7)
- Home Health Aide · 374U00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Emmanuel T Dezdel?
The NPI number of Emmanuel T Dezdel is 1508794496. It was assigned on May 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Emmanuel T Dezdel?
Emmanuel T Dezdel is registered under the primary taxonomy Chore Provider (code 372500000X).
Where does Emmanuel T Dezdel practice?
The practice location is 240 Mosher RD, Gorham, ME 04038-5835. The office can be reached at 207-298-0430 (phone) or 207-298-0430 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508794496 directly on the NPPES registry website.