Organization
AMERICAN DENTAL ASSOCIATES
Active
Parent organization
AMERICAN DENTAL ASSOCIATES PLLC
Other names
Main Street Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMERICAN DENTAL ASSOCIATES PLLC
Authorized official
DR. OLUGBENGA A AKINSANYA DDS (DENTIST)
(207) 872-6815
Entity
Organization
Contact information
Practice address
179 MAIN ST, SUITE 212, WATERVILLE, ME 04901-6672
(207) 872-6815
(207) 872-6815
Mailing address
179 MAIN ST, SUITE 212, WATERVILLE, ME 04901-6672
(207) 872-6815
(207) 872-6815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4077
ME
Other
Enumeration date
11/16/2008
Last updated
11/16/2008
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