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Kennebec Valley Family Dentistry

Point of Service in Augusta, ME · enumerated 2009 · authorized official Kimberley Gordon, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114153939

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Registry record

Entity type Organization (Type 2)
Legal business name Kennebec Valley Family Dentistry
Practice address 269 Water St, Augusta, ME, 04330
Phone (207) 623-3400
Fax (207) 623-3440
Enumeration date Jun 8, 2009
Last updated in NPPES Nov 20, 2019

Taxonomy & classification

305S00000X Point of Service Managed Care Organizations · License 3095 (ME) Primary

Authorized official

Name Kimberley Gordon
Title Executive Director
Phone (207) 623-3400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kennebec Valley Family Dentistry?
NPPES lists Kimberley Gordon (Executive Director) as the authorized official for this organization.
What is the NPI number for Kennebec Valley Family Dentistry?
The NPI for Kennebec Valley Family Dentistry is 1114153939, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-20.