St John Valley Dental Center | |
309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 | |
(207) 728-7557 | |
(207) 728-7558 |
Full Name | St John Valley Dental Center |
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Speciality | Dentist |
Location | 309 Saint Thomas St, Madawaska, Maine |
Authorized Official Name and Position | Nelson Henry (DENTIST) |
Authorized Official Contact | 2077287557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St John Valley Dental Center 309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 Ph: (207) 728-7557 | St John Valley Dental Center 309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 Ph: (207) 728-7557 |
NPI Number | 1568779957 |
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Provider Enumeration Date | 09/07/2010 |
Last Update Date | 09/07/2010 |
Identifier | Type | State | Issuer |
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1568779957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3474 (Maine) | Primary |
122300000X | Dentist | 3697 (Maine) | Secondary |