| Creative Dental Llc | |
|
1407 Broadway Bangor ME 04401-2403 | |
| (207) 942-3000 | |
| (207) 992-4054 |
| Full Name | Creative Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1407 Broadway, Bangor, Maine |
| Authorized Official Name and Position | David Lee (COO) |
| Authorized Official Contact | 7322071689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Llc 290 Bridgton Rd Ste 2 Westbrook ME 04092-3754 Ph: (732) 207-1689 | Creative Dental Llc 1407 Broadway Bangor ME 04401-2403 Ph: (207) 942-3000 |
| NPI Number | 1194574723 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194574723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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