Organization
MIDCOAST ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT PADDOCK STANLEY D.M.D. (PRESIDENT)
(207) 593-9345
Entity
Organization
Contact information
Practice address
1060 COMMERCIAL ST, SUITE 2, ROCKPORT, ME 04856-3801
(207) 593-9345
Mailing address
1060 COMMERCIAL ST, SUITE 2, ROCKPORT, ME 04856-3801
(207) 593-9345
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN4027
ME
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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