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Maine Dental Health Out-reach, Inc

Maine Dental Health Out-reach, Inc is a health care provider in Winthrop, ME. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 45 Greenwood Ter, Winthrop, ME 04364-1505, US
Practice Location Phone207-377-7003
Practice Location Fax
Legal Business NameMAINE DENTAL HEALTH OUT-REACH, INC
NPI ?1669607644
Entity TypeOrganization
Enumeration Date ? May 20, 2009
Last Update Date ? Feb 16, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Maine Dental Health Out-reach, Inc

SpecialtySpecializationLicenseLicense State
Dental Hygienist

legacy-id-icon Legacy Provider IDs of Maine Dental Health Out-reach, Inc

Provider IdIssuer StateIssuer TypeIssuer
431944500MaineMedicaid

official-icon Authorized Official of Maine Dental Health Out-reach, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Maine Dental Health Out-reach, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Susanne J Lavallee (RDH)
Authorized Official Title/PositionPRESIDENT/DIRECTOR
Authorized Official Phone Number207-377-7003