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Contact Information

MAINE DENTAL GROUP, P.C.
25 STONE ST
AUGUSTA, ME04330-6114
 Phone: 207-622-9210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for MAINE DENTAL GROUP PC · (Female)

NPI # 1154794758
Status Active
Credentials
Entity Individual
Enumeration date 11/04/2015
Last updated 12/02/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # DEN4051
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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