| Bangor Children's Dentistry | |
|
One Cumberland Pl Ste 116 Bangor ME 04401-5083 | |
| (207) 974-3018 | |
| Not Available |
| Full Name | Bangor Children's Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | One Cumberland Pl, Bangor, Maine |
| Authorized Official Name and Position | Marcus Allen Wilkerson (CEO) |
| Authorized Official Contact | 2079510225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bangor Children's Dentistry One Cumberland Pl Ste 116 Bangor ME 04401-5083 Ph: (207) 974-3018 | Bangor Children's Dentistry One Cumberland Pl Ste 116 Bangor ME 04401-5083 Ph: (207) 974-3018 |
| NPI Number | 1467835678 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467835678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DEN4256 (Maine) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DEN4448 (Maine) | Secondary |
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