| |
460 Main Street Suite 1 Springvale ME 04083 | |
(207) 324-6182 | |
(207) 324-4336 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 460 Main Street, Springvale, Maine |
Authorized Official Name and Position | Jay Morgan Knudsen (PARTNER) |
Authorized Official Contact | 2073246182 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
460 Main Street Suite 1 Springvale ME 04083 Ph: (207) 324-6182 | 460 Main Street Suite 1 Springvale ME 04083 Ph: (207) 324-6182 |
NPI Number | 1053411306 |
---|---|
Provider Enumeration Date | 09/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053411306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |