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Contact Information

ALTA DENTAL OF MAINE, PC
348 US ROUTE 1
FREEPORT, ME04032-7016
 Phone: 207-865-1900
 Fax: 207-865-1922
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ALTA DENTAL OF MAINE, PC

NPI # 1528239910
LBN Legal business name ALTA DENTAL OF MAINE, PC
Authorized official JOSEPH WETHERHOLD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2008
Last updated 03/13/2008 - About 18 years ago
Identifiers n/a
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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