| Cosmetic & General Dentistry Of Winthrop | |
|
28 Old Western Ave Winthrop ME 04364-4060 | |
| (207) 377-6958 | |
| (207) 377-4349 |
| Full Name | Cosmetic & General Dentistry Of Winthrop |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28 Old Western Ave, Winthrop, Maine |
| Authorized Official Name and Position | Jay R Wietecha (OWNER) |
| Authorized Official Contact | 2073776958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic & General Dentistry Of Winthrop 28 Old Western Ave Winthrop ME 04364-4060 Ph: (207) 377-6958 | Cosmetic & General Dentistry Of Winthrop 28 Old Western Ave Winthrop ME 04364-4060 Ph: (207) 377-6958 |
| NPI Number | 1407029184 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407029184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3627 (Maine) | Primary |
| 261QD0000X | Clinic/center - Dental | 2556 (Maine) | Secondary |
Cosmetic & General Dentistry Of Winthrop Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Old Western Ave, Winthrop, ME 04364 Phone: 207-377-6958 Fax: 207-377-4349 |