| Bangor Family Dentistry | |
|
83 Ridgewood Dr Bangor ME 04401-2652 | |
| (207) 947-4767 | |
| (207) 947-7112 |
| Full Name | Bangor Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 83 Ridgewood Dr, Bangor, Maine |
| Authorized Official Name and Position | Mark L Carreira (OWNER) |
| Authorized Official Contact | 2079474767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bangor Family Dentistry 83 Ridgewood Dr Bangor ME 04401-2652 Ph: (207) 947-4767 | Bangor Family Dentistry 83 Ridgewood Dr Bangor ME 04401-2652 Ph: (207) 947-4767 |
| NPI Number | 1457360562 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 05/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457360562 | NPI | - | NPPES |
| 104880000 | Medicaid | ME | |
| 828257 | Other | ME | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2098 (Maine) | Primary |
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