Donald R. Blackstone, D.m.d., Pa | |
379 Centerline Rd Presque Isle ME 04769-5227 | |
(207) 762-7881 | |
Not Available |
Full Name | Donald R. Blackstone, D.m.d., Pa |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 379 Centerline Rd, Presque Isle, Maine |
Authorized Official Name and Position | Gregory Mark Blackstone (ORTHODONTIST) |
Authorized Official Contact | 2077627881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Donald R. Blackstone, D.m.d., Pa 379 Centerline Rd Presque Isle ME 04769-5227 Ph: (207) 762-7881 | Donald R. Blackstone, D.m.d., Pa 379 Centerline Rd Presque Isle ME 04769-5227 Ph: (207) 762-7881 |
NPI Number | 1245439652 |
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Provider Enumeration Date | 07/16/2007 |
Last Update Date | 07/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245439652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3027 (Maine) | Primary |
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