| Broadway Dental Pc | |
|
743 Broadway Bangor ME 04401-3225 | |
| (207) 945-5300 | |
| Not Available |
| Full Name | Broadway Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 743 Broadway, Bangor, Maine |
| Authorized Official Name and Position | Rebekah K Blanchette (OWNER) |
| Authorized Official Contact | 2079455300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Pc 743 Broadway Bangor ME 04401-3225 Ph: (207) 945-5300 | Broadway Dental Pc 743 Broadway Bangor ME 04401-3225 Ph: (207) 945-5300 |
| NPI Number | 1063134708 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063134708 | NPI | - | NPPES |
| 1871684282 | Other | ME | 1-IND |
| 1679142988 | Other | ME | 1-IND |
| 1740591882 | Other | ME | 1-IND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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