| Midcoast Family Dentistry | |
|
625 Rockland St Rockport ME 04856-5320 | |
| (207) 236-3100 | |
| (207) 236-8380 |
| Full Name | Midcoast Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 625 Rockland St, Rockport, Maine |
| Authorized Official Name and Position | Jody L Lavoie (OPERATIONS MANAGER) |
| Authorized Official Contact | 2072363100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcoast Family Dentistry 625 Rockland St Rockport ME 04856-5320 Ph: (207) 236-3100 | Midcoast Family Dentistry 625 Rockland St Rockport ME 04856-5320 Ph: (207) 236-3100 |
| NPI Number | 1124327564 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124327564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3037 (Maine) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 3037 (Maine) | Secondary |
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