NPI 1538541727

Fryeburg Family Dental

Organisation Dental Hygienist Fryeburg, ME

Practice location

Address: 19 Portland St, Fryeburg, ME 04037-1205
Phone: (207) 256-7606
Fax: (207) 256-8086
Mailing address: PO Box 523 19 Portland Street, Fryeburg, ME 04037-0523

Authorised official

Name: Bernadette Kozak
Title: Owner/Operator
Phone: (207) 256-7606

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence IPH18 (ME)

Other Dental Hygienist providers in Maine →

Registry record

NPI: 1538541727
Entity type: Organization
NPI issued: 24 Jun 2015
Record last updated: 24 Jun 2015

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.