Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649359746 Individual Practitioner Male Practitioner

Dr. Mark William Governo , DMD

Dentist - General Practice • Kittery, ME

Professional Overview & Biography Verified Profile Summary

Dr. Mark Governo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kittery, ME. Practice services are available at 12 NEWMARCH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Newmarch St

Kittery, ME 039041619

Telephone 2074393390
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kittery, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Kittery, 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: 2025-11-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License ME DEN5241

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 MA DN18732

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

NUCC Taxonomy Code: 122300000X

State License NH 3123

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VT 016.0134276

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30300297 (NH)
Commercial Insurance / Payer ID United Condordia
807907

Secondary Practice Locations

98 Croydon Tpke

Plainfield, NH 037815402

Phone: 6034439737

933 Pleasant St Ste 102-103

Fall River, MA 027231000

Phone: 6173368596

12 Newmarch St

Kittery, ME 039041619

Phone: 2074393390

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1003995192
Dr. Stephen Swallow , DDS

Dentist - General Practice

NPI 1346368065

Doctor of Dental Surgery

Dr. Ajisa Liti , DMD

Dentist - General Practice

NPI 1699355461

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 17, 2025

Registered at 12 NEWMARCH ST, KITTERY, ME 039041619 (Tel: 2074393390)

📍
Updated Business Mailing Address November 17, 2025

Registered at 12 NEWMARCH ST, KITTERY, ME 039041619 (Tel: 6034430069)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2025

Dentist (License #DN18732 in MA)

📍
Updated Practice Location July 10, 2025

Registered at 933 PLEASANT ST STE 102-103, FALL RIVER, MA 027231000 (Tel: 6173368596)

📍
Updated Business Mailing Address January 15, 2025

Registered at PO BOX 33, MERIDEN, NH 037700033 (Tel: 6034430069)

NPI Profile Active August 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2015

Registered at 2 CAMPBELL STREET, LEBANON, NH 03766 (Tel: 6034484200)

📍
Updated Business Mailing Address August 26, 2015

Registered at PO BOX 390, LEBANON, NH 03766 (Tel: 6034484200)

👤
Provider Name / Credentials Updated August 26, 2015

Recorded as MARK GOVERNO, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2015

Dentist (License #3123 in NH)

🟢
Initial NPI Registration & Enumeration November 02, 2006

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: 1649359746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: November 17, 2025
Sole Proprietor: No

Mailing Address

12 Newmarch St

Kittery, ME 039041619

Phone: 6034430069

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.