Organization
CASCO BAY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHADD J COCKRELL DMD (OWNER DENTIST)
(360) 349-2401
Entity
Organization
Contact information
Practice address
10 EVERETT ST, BRUNSWICK, ME 04011-2404
(207) 729-8939
Mailing address
10 EVERETT ST, BRUNSWICK, ME 04011-2404
(207) 729-8939
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4570
ME
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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