| Main Street Dental Center | |
|
179 Main St Suite 212 Waterville ME 04901-6672 | |
| (207) 872-6815 | |
| (207) 872-6815 |
| Full Name | Main Street Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 179 Main St, Waterville, Maine |
| Authorized Official Name and Position | Olugbenga A Akinsanya (DENTIST) |
| Authorized Official Contact | 2078726815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dental Center 179 Main St Suite 212 Waterville ME 04901-6672 Ph: (207) 872-6815 | Main Street Dental Center 179 Main St Suite 212 Waterville ME 04901-6672 Ph: (207) 872-6815 |
| NPI Number | 1245484310 |
|---|---|
| Provider Enumeration Date | 11/16/2008 |
| Last Update Date | 11/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245484310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4077 (Maine) | Primary |
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