Smile Clinic, Llc | |
163 Fore St Ste A Portland ME 04101-6806 | |
(207) 352-3111 | |
Not Available |
Full Name | Smile Clinic, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 163 Fore St Ste A, Portland, Maine |
Authorized Official Name and Position | Jameson Louis Hardy (ORTHODONTIST) |
Authorized Official Contact | 2078520523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Clinic, Llc 163 Fore St Ste A Portland ME 04101-6806 Ph: () - | Smile Clinic, Llc 163 Fore St Ste A Portland ME 04101-6806 Ph: (207) 352-3111 |
NPI Number | 1306497094 |
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Provider Enumeration Date | 09/24/2019 |
Last Update Date | 09/24/2019 |
Identifier | Type | State | Issuer |
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1306497094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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