| Frederick A. Port, Dmd & Greg S. Solomon, Dds, Pa | |
|
700 Mount Hope Ave Suite 610 Bangor ME 04401-5691 | |
| (207) 945-5952 | |
| Not Available |
| Full Name | Frederick A. Port, Dmd & Greg S. Solomon, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 Mount Hope Ave, Bangor, Maine |
| Authorized Official Name and Position | Greg Solomon (PRESIDENT) |
| Authorized Official Contact | 2079455952 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick A. Port, Dmd & Greg S. Solomon, Dds, Pa 700 Mount Hope Ave Suite 610 Bangor ME 04401-5691 Ph: () - | Frederick A. Port, Dmd & Greg S. Solomon, Dds, Pa 700 Mount Hope Ave Suite 610 Bangor ME 04401-5691 Ph: (207) 945-5952 |
| NPI Number | 1972513190 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972513190 | NPI | - | NPPES |
| 10909000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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