| Portland Family Dental | |
|
1006 Forest Ave Portland ME 04103-3343 | |
| (207) 797-3585 | |
| Not Available |
| Full Name | Portland Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1006 Forest Ave, Portland, Maine |
| Authorized Official Name and Position | Michael Sundberg (DIRECTOR) |
| Authorized Official Contact | 2077973585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Family Dental 1006 Forest Ave Portland ME 04103-3343 Ph: (207) 797-3585 | Portland Family Dental 1006 Forest Ave Portland ME 04103-3343 Ph: (207) 797-3585 |
| NPI Number | 1437362779 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437362779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3644 (Maine) | Primary |
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