| Patriot Dental, Llc | |
|
16 Main St Gray ME 04039-9407 | |
| (207) 657-5440 | |
| Not Available |
| Full Name | Patriot Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16 Main St, Gray, Maine |
| Authorized Official Name and Position | Brian David Boynton (PRESIDENT) |
| Authorized Official Contact | 2078310004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Dental, Llc 16 Main St Gray ME 04039-9407 Ph: (207) 657-5440 | Patriot Dental, Llc 16 Main St Gray ME 04039-9407 Ph: (207) 657-5440 |
| NPI Number | 1134599640 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134599640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Maine) | Primary |
James D Pound Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Main Street, Gray, ME 04039 Phone: 207-657-5440 Fax: 207-657-5461 |