| Portland Dental Health Care | |
|
315 Auburn St Portland ME 04103-2179 | |
| (207) 797-5000 | |
| Not Available |
| Full Name | Portland Dental Health Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 315 Auburn St, Portland, Maine |
| Authorized Official Name and Position | Michelle R Davis (PRESIDENT) |
| Authorized Official Contact | 2077975000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Dental Health Care 315 Auburn St Portland ME 04103-2179 Ph: (207) 797-5000 | Portland Dental Health Care 315 Auburn St Portland ME 04103-2179 Ph: (207) 797-5000 |
| NPI Number | 1639110349 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639110349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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