Sunrise Smiles Llc | |
1166 Port Road Machiasport ME 04655 | |
(207) 259-1129 | |
Not Available |
Full Name | Sunrise Smiles Llc |
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Speciality | Clinic/center - Dental |
Location | 1166 Port Road, Machiasport, Maine |
Authorized Official Name and Position | Lana T Ingalls (INDEPENDENT DENTAL HYGIENIST) |
Authorized Official Contact | 2072591129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunrise Smiles Llc Po Box 34 Machiasport ME 04655-0034 Ph: (207) 259-1129 | Sunrise Smiles Llc 1166 Port Road Machiasport ME 04655 Ph: (207) 259-1129 |
NPI Number | 1518372135 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
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1518372135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | IPH72 (Maine) | Primary |