| Haskell C. Kingston D.m.d.,p.a. | |
|
17 Levesque Dr Ste 3 Eliot ME 03903-2075 | |
| (207) 439-0779 | |
| (207) 439-0883 |
| Full Name | Haskell C. Kingston D.m.d.,p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Levesque Dr Ste 3, Eliot, Maine |
| Authorized Official Name and Position | Haskell Charles Kingston (OWNER DENTIST) |
| Authorized Official Contact | 2074390779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haskell C. Kingston D.m.d.,p.a. 17 Levesque Dr Ste 3 Eliot ME 03903-2075 Ph: (207) 439-0779 | Haskell C. Kingston D.m.d.,p.a. 17 Levesque Dr Ste 3 Eliot ME 03903-2075 Ph: (207) 439-0779 |
| NPI Number | 1265554141 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 04/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265554141 | NPI | - | NPPES |
| 112670000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2914 (Maine) | Primary |
Kingston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Levesque Dr, Suite 3, Eliot, ME 03903 Phone: 207-439-0779 Fax: 207-439-0883 |