Individual
DR. MARK WILLIAM GOVERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
12 NEWMARCH ST, KITTERY, ME 03904-1619
(207) 439-3390
Mailing address
12 NEWMARCH ST, KITTERY, ME 03904-1619
(603) 443-0069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3123
NH
1223G0001X
General Practice Dentistry
016.0134276
VT
1223G0001X
General Practice Dentistry
Primary
DEN5241
ME
1223G0001X
General Practice Dentistry
DN18732
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300297
—
NH
01
—
807907
UNITED CONDORDIA
—
Enumeration date
11/02/2006
Last updated
11/17/2025
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