| Smile Clinic, Llc | |
|
163 Fore St Ste A Portland ME 04101-6806 | |
| (207) 352-3111 | |
| Not Available |
| Full Name | Smile Clinic, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306497094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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