Healthcare Provider Details

I. General information

NPI: 1023007127
Provider Name (Legal Business Name): DAVID HOWARD DUMONT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 CENTRE ST STE 101
BATH ME
04530-2550
US

IV. Provider business mailing address

108 CENTRE ST STE 101
BATH ME
04530-2550
US

V. Phone/Fax

Practice location:
  • Phone: 207-373-6125
  • Fax: 207-245-7159
Mailing address:
  • Phone: 207-373-6125
  • Fax: 207-245-7159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number12761
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: