Organization
COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY PELKEY (BILLING COORDINATOR)
(207) 874-1025
Entity
Organization
Contact information
Practice address
57 BARRA RD, BIDDEFORD, ME 04005-9448
(207) 282-1305
Mailing address
276 CANCO RD, PORTLAND, ME 04103-4351
(207) 874-1025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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