| Teledentalassistance | |
|
6 Carriage Way Scarborough ME 04074-9602 | |
| (207) 432-0649 | |
| Not Available |
| Full Name | Teledentalassistance |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 6 Carriage Way, Scarborough, Maine |
| Authorized Official Name and Position | Stacy Caron (FOUNDER) |
| Authorized Official Contact | 2074320649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teledentalassistance 6 Carriage Way Scarborough ME 04074-9602 Ph: (207) 432-0649 | Teledentalassistance 6 Carriage Way Scarborough ME 04074-9602 Ph: (207) 432-0649 |
| NPI Number | 1710619010 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710619010 | NPI | - | NPPES |
| 3394298 | Other | ME | DL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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