| Androscoggin Orthodontics, P.a. | |
|
1 Willow Run Auburn ME 04210-8501 | |
| (207) 784-8587 | |
| (207) 777-5251 |
| Full Name | Androscoggin Orthodontics, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Willow Run, Auburn, Maine |
| Authorized Official Name and Position | Thomas John Bauer (OWNER) |
| Authorized Official Contact | 2077848587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Androscoggin Orthodontics, P.a. 1 Willow Run Auburn ME 04210-8501 Ph: (207) 784-8587 | Androscoggin Orthodontics, P.a. 1 Willow Run Auburn ME 04210-8501 Ph: (207) 784-8587 |
| NPI Number | 1588078505 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588078505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN4352 (Maine) | Primary |
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