Organization
TWIN PINES EXTRACTION AND DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH R LIVINGSTON DDS (OWNER)
(207) 659-8620
Entity
Organization
Contact information
Practice address
12 STILLWATER AVE STE 6, BANGOR, ME 04401-3984
(207) 992-2060
(207) 262-0424
Mailing address
PO BOX 45, ORONO, ME 04473-0045
(207) 659-8620
(207) 262-0424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184154486
—
ME
Enumeration date
06/14/2021
Last updated
06/14/2021
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