| Penobscot Community Dental Clinic | |
|
1048 Union St Bangor ME 04401 | |
| (207) 945-5247 | |
| Not Available |
| Full Name | Penobscot Community Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 1048 Union St, Bangor, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2079929200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Community Dental Clinic Po Box 1599 Bangor ME 04402-1599 Ph: (207) 945-5247 | Penobscot Community Dental Clinic 1048 Union St Bangor ME 04401 Ph: (207) 945-5247 |
| NPI Number | 1053404996 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053404996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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