Provider Demographics
NPI:1114449204
Name:GREGOIRE, CHRISTOPHER CLARK (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CLARK
Last Name:GREGOIRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48A MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-2510
Mailing Address - Country:US
Mailing Address - Phone:207-831-1648
Mailing Address - Fax:
Practice Address - Street 1:2 GREAT FALLS PLZ UNIT 16
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5895
Practice Address - Country:US
Practice Address - Phone:207-782-1644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-11
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN45591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics