Hermon Family Dental, Pa | |
2402 Route 2 Suite E Hermon ME 04401-0665 | |
(207) 848-2555 | |
(207) 848-9012 |
Full Name | Hermon Family Dental, Pa |
---|---|
Speciality | Clinic/center - Dental |
Location | 2402 Route 2, Hermon, Maine |
Authorized Official Name and Position | Benjamin G Phillips (OWNER) |
Authorized Official Contact | 2078482555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hermon Family Dental, Pa 2402 Route 2 Suite E Hermon ME 04401-0665 Ph: (207) 848-2555 | Hermon Family Dental, Pa 2402 Route 2 Suite E Hermon ME 04401-0665 Ph: (207) 848-2555 |
NPI Number | 1003241654 |
---|---|
Provider Enumeration Date | 09/13/2013 |
Last Update Date | 09/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003241654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4141 (Maine) | Primary |