| Downeast Pediatric Dentistry Pllc | |
|
888 Brighton Ave Portland ME 04102-1004 | |
| (207) 772-4111 | |
| (207) 761-6953 |
| Full Name | Downeast Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 888 Brighton Ave, Portland, Maine |
| Authorized Official Name and Position | Mariah Thibault (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5202762220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downeast Pediatric Dentistry Pllc 716 N Country Club Rd Tucson AZ 85716-4591 Ph: (520) 326-8516 | Downeast Pediatric Dentistry Pllc 888 Brighton Ave Portland ME 04102-1004 Ph: (207) 772-4111 |
| NPI Number | 1720656705 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720656705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
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