Organization
PREMIER DENTAL GROUP PC
Active
Other names
Premier Dental Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE BESEN (OPERATIONS COORDINATOR)
(207) 204-4307
Entity
Organization
Contact information
Practice address
1800 WOODBURY AVE, PORTSMOUTH, NH 03801-3238
(603) 436-8822
(603) 431-3948
Mailing address
1290 CONGRESS ST, PORTLAND, ME 04102-2113
(207) 204-4307
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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