| Root Dental Specialists | |
|
192 Western Ave South Portland ME 04106-2428 | |
| (207) 405-0004 | |
| (207) 405-0004 |
| Full Name | Root Dental Specialists |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 192 Western Ave, South Portland, Maine |
| Authorized Official Name and Position | Stephen J Tangredi (OWNER/DOCTOR) |
| Authorized Official Contact | 2074050004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Dental Specialists 192 Western Ave South Portland ME 04106-2428 Ph: (207) 405-0004 | Root Dental Specialists 192 Western Ave South Portland ME 04106-2428 Ph: (207) 405-0004 |
| NPI Number | 1033741905 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033741905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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› Verified 2 days ago
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