Individual
JEROME BENJAMIN SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS ABO
Contact information
Practice address
132 WASHINGTON AVE, PORTLAND, ME 04101-2632
(207) 797-5577
Mailing address
1321 WASHINGTON AVE, PORTLAND, ME 04101-2632
(207) 797-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3774
ME
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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