| Kingston Family Dental | |
|
17 Levesque Dr Suite 3 Eliot ME 03903-2064 | |
| (207) 439-0779 | |
| (207) 439-0883 |
| Full Name | Kingston Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Levesque Dr, Eliot, Maine |
| Authorized Official Name and Position | William Blatt (OWNER) |
| Authorized Official Contact | 2074390779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingston Family Dental 17 Levesque Dr Suite 3 Eliot ME 03903-2064 Ph: (207) 439-0779 | Kingston Family Dental 17 Levesque Dr Suite 3 Eliot ME 03903-2064 Ph: (207) 439-0779 |
| NPI Number | 1073911400 |
|---|---|
| Provider Enumeration Date | 12/17/2014 |
| Last Update Date | 12/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073911400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4215 (Maine) | Primary |
Haskell C. Kingston D.m.d.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Levesque Dr Ste 3, Eliot, ME 03903 Phone: 207-439-0779 Fax: 207-439-0883 |