| Roosevelt Dental, P.a. | |
|
840 Roosevelt Trl Windham ME 04062-5375 | |
| (207) 894-5580 | |
| (207) 894-5590 |
| Full Name | Roosevelt Dental, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 840 Roosevelt Trl, Windham, Maine |
| Authorized Official Name and Position | Eugene Kim (OWNER) |
| Authorized Official Contact | 2078945580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Dental, P.a. 840 Roosevelt Trl Windham ME 04062-5375 Ph: (207) 894-5580 | Roosevelt Dental, P.a. 840 Roosevelt Trl Windham ME 04062-5375 Ph: (207) 894-5580 |
| NPI Number | 1194084731 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194084731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4101 (Maine) | Primary |
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Advanced Dental Concepts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Suite 104, Windham, ME 04062 Phone: 207-892-8325 Fax: 207-893-2897 | |
D.b.a. Windham Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave Ste 2, Windham, ME 04062 Phone: 207-893-2001 Fax: 207-893-2006 | |
Jetport Denture Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Roosevelt Trl, Windham, ME 04062 Phone: 207-893-1346 Fax: 207-893-0114 | |
Windham Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave, Windham, ME 04062 Phone: 207-893-2001 Fax: 207-893-2006 | |
Lifetime Dental Health, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-8548 Fax: 207-892-6651 | |
Windham Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-3200 |