| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 North Rd, Bethel, Maine |
| Authorized Official Name and Position | John R Mason (OWNER) |
| Authorized Official Contact | 2078243378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 570 Bethel ME 04217-0570 Ph: (207) 824-3378 | 44 North Rd Bethel ME 04217 Ph: (207) 824-3378 |
| NPI Number | 1114133089 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114133089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2410 (Maine) | Primary |
Bethel Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 North Rd, Bethel, ME 04217 Phone: 207-824-3378 |