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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, P.C.

NPI # 1154794758
LBN Legal business name MAINE DENTAL GROUP, P.C.
Authorized official DAVID LEE - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/04/2015
Last updated 12/02/2024 - More than a year ago
Identifiers
ME License # DEN4051
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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