Active NPIIndividual provider

Dr. Mark W Governo, DMD

Dentist, General Practice in Kittery, Maine

NPI Number1649359746
Practice location
12 Newmarch St, Kittery, ME 03904-1619
Fax
—
Last updated
November 17, 2025

Mark William Governo is a Dentist, General Practice based in Kittery, ME. Mark William Governo practices in Kittery, ME and has the professional credentials of DMD. The NPI Number for Mark William Governo is 1649359746 and holds a License No. DN18732 (MA). The current practice location address for Mark William Governo is 12 Newmarch St, Kittery, ME 03904-1619 and can be reached out via phone at 207-439-3390.

Provider Profile Details

NPI Number
1649359746
Provider Name
Mark William Governo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
12 Newmarch St, Kittery, ME 03904-1619
Phone Number
207-439-3390
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2006
Last Update Date
November 17, 2025
Certification Date
November 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Newmarch St
Kittery, ME 03904-1619
State
Maine
Zip
03904-1619
Phone Number
207-439-3390
Kittery, ME 03904Get directions →

Provider Business Mailing Address Details

Address
12 Newmarch St
Kittery, ME 03904-1619
City
Kittery
State
ME
Zip
03904-1619
Phone Number
603-443-0069

License Information

License Number (1)
DN18732
License State (1)
MA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
3123
License State (2)
NH
Taxonomy (2)
Dentist · 122300000X
License Number (3)
016.0134276
License State (3)
VT
Taxonomy (3)
Dentist, General Practice · 1223G0001X
License Number (4)
DEN5241
License State (4)
ME
Taxonomy (4)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Mark W Governo, DMD?

The NPI number of Dr. Mark W Governo, DMD is 1649359746. It was assigned on November 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark W Governo, DMD?

Dr. Mark W Governo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN18732.

Where does Dr. Mark W Governo, DMD practice?

The practice location is 12 Newmarch St, Kittery, ME 03904-1619. The office can be reached at 207-439-3390 (phone).

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 1649359746 directly on the NPPES registry website.

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