FORESIDE DENTAL HEALTH CARE PA NPI 1013036615

NPI Information

FORESIDE DENTAL HEALTH CARE, PA is a general practice dentist in Falmouth, ME. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FORESIDE DENTAL HEALTH CARE, PA NPI is 1013036615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 FUNDY RD
FALMOUTH, ME
ZIP 04105-796
Phone: (207) 781-2054
Fax: (207) 781-7133

The provider's authorized official is Alan J Avtges .
The authorized official title is Owner and has the following contact phone number (207) 781-2054.

The CLIA number assigned to this NPI record is 20D2196268 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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