| Dental Specialists Of Maine, Llc | |
|
1355 Congress St Ste A Portland ME 04102-2137 | |
| (207) 879-0010 | |
| (207) 879-0011 |
| Full Name | Dental Specialists Of Maine, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1355 Congress St Ste A, Portland, Maine |
| Authorized Official Name and Position | Jared Boudreau (PRACTICE DIRECTOR) |
| Authorized Official Contact | 2078790010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialists Of Maine, Llc 1355 Congress St Ste A Portland ME 04102-2137 Ph: (207) 879-0010 | Dental Specialists Of Maine, Llc 1355 Congress St Ste A Portland ME 04102-2137 Ph: (207) 879-0010 |
| NPI Number | 1811197601 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811197601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 3810 (Maine) | Primary |
| 1223E0200X | Dentist - Endodontics | 4027 (Maine) | Secondary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
Mmc Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-871-4078 | |
Juno Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave Ste A, Portland, ME 04102 Phone: 207-773-2150 | |
Coastal Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Street, Portland, ME 04103 Phone: 207-797-7433 Fax: 207-797-7720 | |
Aspen Dental Of Maine Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave, Portland, ME 04102 Phone: 207-773-2150 | |
Arc Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Ave, Portland, ME 04102 Phone: 207-772-4359 | |
Brighton Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Avenue, Suite 1, Portland, ME 04102 Phone: 207-772-4359 Fax: 207-772-4990 |