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Active NPI 1912404708 Individual Practitioner Female Practitioner

Dr. Zoe Kiklis Christensen , DDS

Dentist - General Practice • Gorham, ME

Professional Overview & Biography Verified Profile Summary

Dr. Zoe Kiklis Christensen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gorham, ME. Practice services are available at 77 SOUTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

77 South St

Gorham, ME 040381715

Telephone 2072220522
Associated Practice Facility / Clinic
🏢 Gorham Village Dental Llc Facility NPI 1174184253

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gorham, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Gorham, ME (547 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ME 4946

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 104224

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1912404708 (ME)

Secondary Practice Locations

7903 Atlantic Ave Ste G

Cudahy, CA 90201

Phone: 3237732200

715 S 8th St

Minneapolis, MN 554041210

Phone: 9142163620

701 Park Ave

Minneapolis, MN 554151623

Phone: 9142163620

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Andrew Athanathious , DMD

Dentist - General Practice

NPI 1861125940

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 26, 2023

Registered at 77 SOUTH ST, GORHAM, ME 040381715 (Tel: 2072220522)

📍
Updated Business Mailing Address January 26, 2023

Registered at 77 SOUTH ST, GORHAM, ME 040381715 (Tel: 9142163620)

👤
Provider Name / Credentials Updated January 26, 2023

Recorded as ZOE KIKLIS CHRISTENSEN, DDS

📍
Updated Practice Location August 05, 2019

Registered at 7903 ATLANTIC AVE STE G, CUDAHY, CA 90201 (Tel: 3237732200)

📍
Updated Business Mailing Address August 05, 2019

Registered at 511 MAGNOLIA ST APT 6, SOUTH PASADENA, CA 910302359 (Tel: 9142163620)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2019

Dentist (License #104224 in CA)

NPI Profile Active April 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2018

Registered at 701 PARK AVE, MINNEAPOLIS, MN 554151623 (Tel: 9142163620)

📍
Updated Business Mailing Address April 09, 2018

Registered at 1746 PINE ST, BOULDER, CO 803024307 (Tel: 9142163620)

👤
Provider Name / Credentials Updated April 09, 2018

Recorded as ZOE KIKLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912404708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2018
Last Update: January 26, 2023
Sole Proprietor: No

Mailing Address

77 South St

Gorham, ME 040381715

Phone: 9142163620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.