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MAINE DENTAL GROUP P.C. NPI 1154794758


NPI Information

NPI: 1154794758
Provider Name: MAINE DENTAL GROUP, P.C.

Other Name: GENTLE FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
25 STONE ST
AUGUSTA, ME
ZIP 04330
Phone: (207) 622-9210
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MAINE DENTAL GROUP, P.C. is a general practice dentist in Augusta, 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. MAINE DENTAL GROUP, P.C. NPI is 1154794758. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Gentle Family Dentistry.

The provider's business location address is:

25 STONE ST
AUGUSTA, ME
ZIP 04330-114
Phone: (207) 622-9210

The provider's authorized official is David Lee .
The authorized official title is Coo and has the following contact phone number (732) 207-1689.

The enumeration date for this NPI number is 11/4/2015 and was last updated on 3/8/2024.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes
2302R00000XHealth Maintenance OrganizationDEN4051MAINENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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