NPI 1194574723
Creative Dental LLC
Practice location
- Address
- 1407 Broadway, Bangor, ME 04401-2403
- Phone
- (207) 942-3000
- Fax
- (207) 992-4054
- Mailing address
- 290 Bridgton Rd STE 2, Westbrook, ME 04092-3754
Authorised official
- Name
- David Lee
- Title
- Coo
- Phone
- (732) 207-1689
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1194574723
- Entity type
- Organization
- NPI issued
- 15 May 2024
- Record last updated
- 15 May 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.