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Contact Information

ELLSWORTH BUCKSPORT DENTAL ASSOCIATES
11 MECHANIC STREET
BUCKSPORT, ME04416
 Phone: 207-469-6191
 Fax: 207-469-3816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ELLSWORTH BUCKSPORT DENTAL ASSOCIATES · (Female)

NPI # 1124352737
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2009
Last updated 09/29/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # 3036
  • ME Medicaid 120010000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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