| Aspen Dental | |
|
171 Maine Mall Rd South Portland ME 04106-2310 | |
| (207) 775-1551 | |
| (207) 775-3094 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 171 Maine Mall Rd, South Portland, Maine |
| Authorized Official Name and Position | Nathan Timothy Oakes (OWNER) |
| Authorized Official Contact | 2077751551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 171 Maine Mall Rd South Portland ME 04106-2310 Ph: (207) 775-1551 |
| NPI Number | 1295287746 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295287746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN4325 (Maine) | Primary |
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