Active NPIIndividual provider

Dr. Andrew M Athanathious, DMD

Dentist, General Practice in Gorham, Maine

NPI Number1861125940
Practice location
77 South St, Gorham, ME 04038-1715
Fax
—
Last updated
July 6, 2022

Andrew Michel Athanathious is a Dentist, General Practice based in Gorham, ME. Andrew Michel Athanathious practices in Gorham, ME and has the professional credentials of DMD. The NPI Number for Andrew Michel Athanathious is 1861125940 and holds a License No. DEN4989 (ME). The current practice location address for Andrew Michel Athanathious is 77 South St, Gorham, ME 04038-1715 and can be reached out via phone at 207-222-0522.

Provider Profile Details

NPI Number
1861125940
Provider Name
Andrew Michel Athanathious
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
77 South St, Gorham, ME 04038-1715
Phone Number
207-222-0522
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 6, 2022
Last Update Date
July 6, 2022
Certification Date
July 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 South St
Gorham, ME 04038-1715
City
Gorham
State
Maine
Zip
04038-1715
Phone Number
207-222-0522
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
723 Riverside St Apt 434
Portland, ME 04103-5937
City
Portland
State
ME
Zip
04103-5937
Phone Number
647-780-7938

License Information

License Number
DEN4989
License State
ME
Taxonomy
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. Andrew M Athanathious, DMD?

The NPI number of Dr. Andrew M Athanathious, DMD is 1861125940. It was assigned on July 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew M Athanathious, DMD?

Dr. Andrew M Athanathious, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number DEN4989.

Where does Dr. Andrew M Athanathious, DMD practice?

The practice location is 77 South St, Gorham, ME 04038-1715. The office can be reached at 207-222-0522 (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 1861125940 directly on the NPPES registry website.

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