Provider Demographics
NPI:1881617165
Name:GARRAMORE, PETER JULES (DMD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:JULES
Last Name:GARRAMORE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LAUREL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9641
Mailing Address - Country:US
Mailing Address - Phone:207-590-2698
Mailing Address - Fax:
Practice Address - Street 1:9 LAUREL RIDGE RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9641
Practice Address - Country:US
Practice Address - Phone:207-590-2698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME31801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice