| Ellsworth Bucksport Dental Associates | |
|
11 Mechanic Street Bucksport ME 04416 | |
| (207) 469-6191 | |
| (207) 469-3816 |
| Full Name | Ellsworth Bucksport Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 Mechanic Street, Bucksport, Maine |
| Authorized Official Name and Position | Jodi L Sawyer (OFFICE MANAGER) |
| Authorized Official Contact | 2076677117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellsworth Bucksport Dental Associates Po Box 838 Bucksport ME 04416-0838 Ph: (207) 469-6191 | Ellsworth Bucksport Dental Associates 11 Mechanic Street Bucksport ME 04416 Ph: (207) 469-6191 |
| NPI Number | 1124352737 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124352737 | NPI | - | NPPES |
| 120010000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3036 (Maine) | Primary |
Gerald P. Couture, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Franklin Street, Bucksport, ME 04416 Phone: 207-469-6159 | |
Bucksport Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Bucksport, ME 04416 Phone: 207-469-2912 Fax: 207-469-2912 | |
Foundation Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Bucksport, ME 04416 Phone: 207-469-2912 |