Full Name | |
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Speciality | Dentist - General Practice |
Location | 7 Thompson St., Wilton, Maine |
Authorized Official Name and Position | Carl Sheline (OFFICE MANAGER) |
Authorized Official Contact | 2076229215 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7 Thompson St. Wilton ME 04294 Ph: () - | 7 Thompson St. Wilton ME 04294 Ph: (207) 645-4994 |
NPI Number | 1851648240 |
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Provider Enumeration Date | 08/06/2012 |
Last Update Date | 08/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851648240 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |