| New England Denture Center | |
|
12 Stillwater Ave Bangor ME 04401-3984 | |
| (207) 941-6550 | |
| (207) 973-3952 |
| Full Name | New England Denture Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12 Stillwater Ave, Bangor, Maine |
| Authorized Official Name and Position | Stephanie R Buxton (DENTURIST) |
| Authorized Official Contact | 2079416550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Denture Center 12 Stillwater Ave Bangor ME 04401-3984 Ph: (207) 941-6550 | New England Denture Center 12 Stillwater Ave Bangor ME 04401-3984 Ph: (207) 941-6550 |
| NPI Number | 1750615399 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750615399 | NPI | - | NPPES |
| 433129699 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5511 (Maine) | Primary |
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