| Community Dental Center | |
|
4 Community Lane Southwest Harbor ME 04679-4273 | |
| (207) 244-2888 | |
| (207) 244-0490 |
| Full Name | Community Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 4 Community Lane, Southwest Harbor, Maine |
| Authorized Official Name and Position | Jennifer Jean Abbott (DIRECTOR OF MEDICAL STAFF SUPPORT) |
| Authorized Official Contact | 2072885081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Center 10 Wayman Ln Bar Harbor ME 04609-1625 Ph: (207) 288-5082 | Community Dental Center 4 Community Lane Southwest Harbor ME 04679-4273 Ph: (207) 244-2888 |
| NPI Number | 1518064047 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518064047 | NPI | - | NPPES |
| 1347980001 | Other | ME | DME SUPPLIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1347980001 (Maine) | Secondary |
Community Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Community Lane, Southwest Harbor, ME 04679 Phone: 207-244-2888 Fax: 207-244-0490 |