Maine Family Dental Practice | |
792 Stillwater Ave Bangor ME 04401 | |
(207) 947-1166 | |
(207) 947-6123 |
Full Name | Maine Family Dental Practice |
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Speciality | Dentist - General Practice |
Location | 792 Stillwater Ave, Bangor, Maine |
Authorized Official Name and Position | Travis R Buxton (OWNER/DENTIST) |
Authorized Official Contact | 2079471166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maine Family Dental Practice 792 Stillwater Ave Bangor ME 04401-3617 Ph: (207) 947-1166 | Maine Family Dental Practice 792 Stillwater Ave Bangor ME 04401 Ph: (207) 947-1166 |
NPI Number | 1619398856 |
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Provider Enumeration Date | 12/13/2013 |
Last Update Date | 09/26/2018 |
Identifier | Type | State | Issuer |
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1619398856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DEN4146 (Maine) | Primary |
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