| Penobscot Childrens Dentistry Associates | |
|
792 Stillwater Ave Bangor ME 04401-3617 | |
| (207) 947-6733 | |
| (207) 947-6760 |
| Full Name | Penobscot Childrens Dentistry Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 792 Stillwater Ave, Bangor, Maine |
| Authorized Official Name and Position | Jonathan David Shenkin (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2079476733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Childrens Dentistry Associates 792 Stillwater Ave Bangor ME 04401-3617 Ph: (207) 947-6733 | Penobscot Childrens Dentistry Associates 792 Stillwater Ave Bangor ME 04401-3617 Ph: (207) 947-6733 |
| NPI Number | 1285854836 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285854836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3649 (Maine) | Primary |
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