| Donald J. Gagnon Dmd Pa | |
|
14 Merrill St Farmingdale ME 04344-1622 | |
| (207) 626-3091 | |
| Not Available |
| Full Name | Donald J. Gagnon Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 14 Merrill St, Farmingdale, Maine |
| Authorized Official Name and Position | Donald J. Gagnon (PRESIDENT) |
| Authorized Official Contact | 2075821010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald J. Gagnon Dmd Pa 14 Merrill St Farmingdale ME 04344-1622 Ph: (207) 626-3091 | Donald J. Gagnon Dmd Pa 14 Merrill St Farmingdale ME 04344-1622 Ph: (207) 626-3091 |
| NPI Number | 1740415363 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740415363 | NPI | - | NPPES |
| 204390000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2717 (Maine) | Primary |
Gagnon Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Merrill St, Farmingdale, ME 04344 Phone: 207-626-3091 Fax: 207-622-5499 |