Organization
KMC DENTAL, P.A.
Active
Other names
KMC Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL CONNELLY DMD (OWNER)
(207) 376-4977
Entity
Organization
Contact information
Practice address
1065 LISBON ST, LEWISTON, ME 04240-5749
(207) 376-4977
(207) 376-4979
Mailing address
1065 LISBON STREET, LEWISTON, ME 04240
(207) 376-4977
(207) 376-4979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN3619
ME
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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