| Creative Dental Solutions Llc, P.a. | |
|
1407 Broadway Bangor ME 04401-2403 | |
| (207) 942-3000 | |
| (207) 992-4054 |
| Full Name | Creative Dental Solutions Llc, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1407 Broadway, Bangor, Maine |
| Authorized Official Name and Position | James M Sevey (SOLE MEMBER) |
| Authorized Official Contact | 2079423000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Solutions Llc, P.a. 1407 Broadway Bangor ME 04401-2403 Ph: (207) 942-3000 | Creative Dental Solutions Llc, P.a. 1407 Broadway Bangor ME 04401-2403 Ph: (207) 942-3000 |
| NPI Number | 1851593669 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 09/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851593669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3269 (Maine) | Primary |
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