Provider Demographics
NPI:1598140923
Name:PETER J. GARRAMORE
Entity Type:Organization
Organization Name:PETER J. GARRAMORE
Other - Org Name:ALL SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:GARRAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-284-5957
Mailing Address - Street 1:2 WELLSPRING RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9401
Mailing Address - Country:US
Mailing Address - Phone:207-284-5957
Mailing Address - Fax:207-283-1140
Practice Address - Street 1:2 WELLSPRING RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9401
Practice Address - Country:US
Practice Address - Phone:207-284-5957
Practice Address - Fax:207-283-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3180261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental