Healthcare Provider Details

I. General information

NPI: 1063725927
Provider Name (Legal Business Name): DR. MEGHANN MARIE DOMBROSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHANN MARIE FOLEY DMD

II. Dates (important events)

Enumeration Date: 07/21/2010
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 GRAY RD
FALMOUTH ME
04105-2062
US

IV. Provider business mailing address

347 MAIN ST
GORHAM ME
04038-1338
US

V. Phone/Fax

Practice location:
  • Phone: 207-699-4160
  • Fax:
Mailing address:
  • Phone: 207-839-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN4155
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: