Organization
MAINE DENTAL GROUP, P.C.
Active
Other names
Gentle Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEE (COO)
(732) 207-1689
Entity
Organization
Contact information
Practice address
25 STONE ST, AUGUSTA, ME 04330-6114
(207) 622-9210
Mailing address
290 BRIDGTON RD STE 2, WESTBROOK, ME 04092-3754
(732) 207-1689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
302R00000X
Health Maintenance Organization
DEN4051
ME
Other
Enumeration date
11/04/2015
Last updated
12/02/2024
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