| Maine Endodontics Pa | |
|
221 Eastern Ave Augusta ME 04330-5930 | |
| (207) 622-2500 | |
| (207) 623-3077 |
| Full Name | Maine Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 221 Eastern Ave, Augusta, Maine |
| Authorized Official Name and Position | Terry Page Wyman (PESIDENT) |
| Authorized Official Contact | 2076222500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Endodontics Pa 221 Eastern Ave Augusta ME 04330-5930 Ph: (207) 622-2500 | Maine Endodontics Pa 221 Eastern Ave Augusta ME 04330-5930 Ph: (207) 622-2500 |
| NPI Number | 1427472398 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427472398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2671 (Maine) | Primary |
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