MEDICARE: DR. CHRISTOPHER CLARK GREGOIRE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DEN4559	ME

General Provider Information

NPI Number	:	1114449204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER CLARK GREGOIRE DDS

Provider Business Mailing Address
First Line	:	48A MOUNTAIN RD
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-2510
Country	:	US
Telephone Number	:	207-831-1648
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 GREAT FALLS PLZ UNIT 16
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-5895
Country	:	US
Telephone Number	:	207-782-1644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2017
Last Update Date	:	11/19/2025

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