| Southern Maine Pediatric Dentistry | |
|
75 John Roberts Rd Suit 10b South Portland ME 04106-6914 | |
| (207) 773-3111 | |
| Not Available |
| Full Name | Southern Maine Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 75 John Roberts Rd, South Portland, Maine |
| Authorized Official Name and Position | Whitney Ralston Wignall (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2077733111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maine Pediatric Dentistry 75 John Roberts Rd Suit 10b South Portland ME 04106-6914 Ph: (207) 773-3111 | Southern Maine Pediatric Dentistry 75 John Roberts Rd Suit 10b South Portland ME 04106-6914 Ph: (207) 773-3111 |
| NPI Number | 1184814568 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184814568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3767 (Maine) | Primary |
Root Dental Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-405-0004 Fax: 207-405-0004 | |
Maine Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Western Ave, South Portland, ME 04106 Phone: 207-408-0479 | |
Pkv,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-773-1703 Fax: 207-773-0268 | |
W. David Melevsky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, South Portland, ME 04106 Phone: 207-761-6699 Fax: 207-761-0245 | |
Gary A Kokx Dmd Todd D Ray Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496 | |
Prosthodontics Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Western Ave, South Portland, ME 04106 Phone: 207-775-6348 Fax: 207-775-6311 |