NPI 1003241654

Hermon Family Dental, PA

Organisation Dental Clinic/Center Hermon, ME

Practice location

Address: 2402 Route 2 Suite E, Hermon, ME 04401-0665
Phone: (207) 848-2555
Fax: (207) 848-9012

Authorised official

Name: Benjamin G Phillips
Title: Owner
Phone: (207) 848-2555

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 4141 (ME)

Other Clinic/Center providers in Maine →

Registry record

NPI: 1003241654
Entity type: Organization
NPI issued: 13 Sep 2013
Record last updated: 13 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.