NPI 1124327564

Randal Joseph Thivierge

Organisation General Practice Dentistry Rockport, ME

Practice location

Address: 625 Rockland St, Rockport, ME 04856-5320
Phone: (207) 236-3100
Fax: (207) 236-8380

Authorised official

Name: Jody L Lavoie
Title: Operations Manager
Phone: (207) 236-3100

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3037 (ME)

Other Dentist providers in Maine →

Customized Equipment (DME)

Suppliers Taxonomy 332BC3200X Licence 3037 (ME)

Other Durable Medical Equipment & Medical Supplies providers in Maine →

Registry record

NPI: 1124327564
Entity type: Organization
NPI issued: 24 Mar 2011
Record last updated: 1 Nov 2011

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.