| Freeport Dental Associates, P.c. | |
|
46 Mallett Dr Freeport ME 04032-1313 | |
| (207) 865-3934 | |
| (207) 865-4590 |
| Full Name | Freeport Dental Associates, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 46 Mallett Dr, Freeport, Maine |
| Authorized Official Name and Position | Jonathan Goold Strout (PRESIDENT) |
| Authorized Official Contact | 2077297788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeport Dental Associates, P.c. 46 Mallett Dr Freeport ME 04032-1313 Ph: (207) 865-3934 | Freeport Dental Associates, P.c. 46 Mallett Dr Freeport ME 04032-1313 Ph: (207) 865-3934 |
| NPI Number | 1447478953 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447478953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Alta Dental Of Maine, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 348 Us Route 1, Freeport, ME 04032 Phone: 207-865-1900 Fax: 207-865-1922 |