High Tide Dental, Pa | |
176 Ocean House Rd Cape Elizabeth ME 04107-1172 | |
(207) 767-3211 | |
(207) 767-3451 |
Full Name | High Tide Dental, Pa |
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Speciality | Dentist - General Practice |
Location | 176 Ocean House Rd, Cape Elizabeth, Maine |
Authorized Official Name and Position | Lucas Homicz (MANAGER) |
Authorized Official Contact | 2077673211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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High Tide Dental, Pa 176 Ocean House Rd Cape Elizabeth ME 04107-1172 Ph: (207) 767-3211 | High Tide Dental, Pa 176 Ocean House Rd Cape Elizabeth ME 04107-1172 Ph: (207) 767-3211 |
NPI Number | 1386018281 |
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Provider Enumeration Date | 11/17/2015 |
Last Update Date | 11/17/2015 |
Identifier | Type | State | Issuer |
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1386018281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4237 (Maine) | Primary |
Cape Elizabeth Dental Assoc Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1232 A Shore Road, Cape Elizabeth, ME 04107 Phone: 207-799-0760 Fax: 207-741-9177 |