Active NPIIndividual providerSole proprietor

Dr. Shanna L Gagnon, DMD

Dentist in Farmingdale, Maine

NPI Number1700810389
Practice location
14 Merrill St, Farmingdale, ME 04344-1622
Fax
207-622-5499
Last updated
July 8, 2007

Shanna Leigh Gagnon is a Dentist based in Farmingdale, ME. Shanna Leigh Gagnon practices in Farmingdale, ME and has the professional credentials of DMD. The NPI Number for Shanna Leigh Gagnon is 1700810389 and holds a License No. 3738 (ME). The current practice location address for Shanna Leigh Gagnon is 14 Merrill St, Farmingdale, ME 04344-1622 and can be reached out via phone at 207-626-3091 and via fax at 207-622-5499.

Provider Profile Details

NPI Number
1700810389
Provider Name
Shanna Leigh Gagnon
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
14 Merrill St, Farmingdale, ME 04344-1622
Phone Number
207-626-3091
Fax Number
207-622-5499
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Merrill St
Farmingdale, ME 04344-1622
State
Maine
Zip
04344-1622
Phone Number
207-626-3091
Fax Number
207-622-5499
Farmingdale, ME 04344Get directions →

Provider Business Mailing Address Details

Address
85 Stoneham Dr.
W. Gardiner, ME 04345-7515
City
W. Gardiner
State
ME
Zip
04345-7515
Phone Number
207-582-8358

License Information

License Number
3738
License State
ME
Taxonomy
Dentist · 122300000X · 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. Shanna L Gagnon, DMD?

The NPI number of Dr. Shanna L Gagnon, DMD is 1700810389. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Shanna L Gagnon, DMD?

Dr. Shanna L Gagnon, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number 3738.

Where does Dr. Shanna L Gagnon, DMD practice?

The practice location is 14 Merrill St, Farmingdale, ME 04344-1622. The office can be reached at 207-626-3091 (phone) or 207-622-5499 (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 1700810389 directly on the NPPES registry website.

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