Organization
KENNEBUNK FAMILY DENTAL CARE
Active
Parent organization
KENNEBUNK FAMILY DENTAL CARE
Other names
Kennebunk Center for Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENNEBUNK FAMILY DENTAL CARE
Authorized official
DR. WESLEY DAVID MILLS DDS (OWNER)
(207) 985-7944
Entity
Organization
Contact information
Practice address
2 LIVEWELL DRIVE, SUITE #105, KENNEBUNK, ME 04043
(207) 985-7944
(207) 985-8717
Mailing address
2 LIVEWELL DRIVE, SUITE #105, KENNEBUNK, ME 04043
(207) 985-7944
(207) 985-8718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3156
ME
1223G0001X
General Practice Dentistry
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132160000
—
ME
Enumeration date
05/09/2007
Last updated
03/26/2013
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