Haskell C. Kingston D.m.d.,p.a. | |
17 Levesque Dr Ste 3 Eliot ME 03903-2075 | |
(207) 439-0779 | |
(207) 439-0883 |
Full Name | Haskell C. Kingston D.m.d.,p.a. |
---|---|
Speciality | Dentist - General Practice |
Location | 17 Levesque Dr Ste 3, Eliot, Maine |
Authorized Official Name and Position | Haskell Charles Kingston (OWNER DENTIST) |
Authorized Official Contact | 2074390779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Haskell C. Kingston D.m.d.,p.a. 17 Levesque Dr Ste 3 Eliot ME 03903-2075 Ph: (207) 439-0779 | Haskell C. Kingston D.m.d.,p.a. 17 Levesque Dr Ste 3 Eliot ME 03903-2075 Ph: (207) 439-0779 |
NPI Number | 1265554141 |
---|---|
Provider Enumeration Date | 04/04/2007 |
Last Update Date | 04/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265554141 | NPI | - | NPPES |
112670000 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2914 (Maine) | Primary |
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› Verified 4 days ago
Kingston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Levesque Dr, Suite 3, Eliot, ME 03903 Phone: 207-439-0779 Fax: 207-439-0883 |