NPI 1154794758

Maine Dental Group, P.C.

Organisation General Practice Dentistry Augusta, ME

Practice location

Address: 25 Stone St, Augusta, ME 04330-6114
Phone: (207) 622-9210
Mailing address: 290 Bridgton Rd STE 2, Westbrook, ME 04092-3754

Authorised official

Name: David Lee
Title: Coo
Phone: (732) 207-1689

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Maine →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence DEN4051 (ME)

Other Health Maintenance Organization providers in Maine →

Registry record

NPI: 1154794758
Entity type: Organization
NPI issued: 4 Nov 2015
Record last updated: 2 Dec 2024

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.