Deering Center Dental Llc | |
163 Pleasant Ave Apt 2 Portland ME 04103-3242 | |
(207) 771-2093 | |
Not Available |
Full Name | Deering Center Dental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 163 Pleasant Ave Apt 2, Portland, Maine |
Authorized Official Name and Position | Jacob Nichols (DENTIST) |
Authorized Official Contact | 2074081001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deering Center Dental Llc 163 Pleasant Ave Apt 2 Portland ME 04103-3242 Ph: (207) 771-2093 | Deering Center Dental Llc 163 Pleasant Ave Apt 2 Portland ME 04103-3242 Ph: (207) 771-2093 |
NPI Number | 1245947092 |
---|---|
Provider Enumeration Date | 11/01/2022 |
Last Update Date | 11/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245947092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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