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4 Community Lane Southwest Harbor ME 04679 | |
(207) 244-2888 | |
(207) 244-0490 |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 4 Community Lane, Southwest Harbor, Maine |
Authorized Official Name and Position | Jennifer Jean Abbott (DIR. MEDICAL STAFF SUPPORT & QUALIT) |
Authorized Official Contact | 2072885081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 731 Southwest Harbor ME 04679-0731 Ph: (207) 244-2888 | 4 Community Lane Southwest Harbor ME 04679 Ph: (207) 244-2888 |
NPI Number | 1235553413 |
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Provider Enumeration Date | 02/10/2014 |
Last Update Date | 11/27/2019 |
Identifier | Type | State | Issuer |
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1235553413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |