| Portland North Dental Associates, P.a. | |
|
9 Sanborn St Portland ME 04103-2107 | |
| (207) 878-3100 | |
| Not Available |
| Full Name | Portland North Dental Associates, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9 Sanborn St, Portland, Maine |
| Authorized Official Name and Position | Robert Anthony Derice (PRESIDENT) |
| Authorized Official Contact | 2078783100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland North Dental Associates, P.a. 9 Sanborn St Portland ME 04103-2107 Ph: () - | Portland North Dental Associates, P.a. 9 Sanborn St Portland ME 04103-2107 Ph: (207) 878-3100 |
| NPI Number | 1356425763 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356425763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2652 (Maine) | Primary |
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