| Deering Center Dental Llc | |
|
163 Pleasant Ave Apt 2 Portland ME 04103-3242 | |
| (207) 771-2093 | |
| Not Available |
| Full Name | Deering Center Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 163 Pleasant Ave Apt 2, Portland, Maine |
| Authorized Official Name and Position | Jacob Nichols (DENTIST) |
| Authorized Official Contact | 2074081001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deering Center Dental Llc 163 Pleasant Ave Apt 2 Portland ME 04103-3242 Ph: (207) 771-2093 | Deering Center Dental Llc 163 Pleasant Ave Apt 2 Portland ME 04103-3242 Ph: (207) 771-2093 |
| NPI Number | 1245947092 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245947092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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