Organization
HASKELL C. KINGSTON D.M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASKELL CHARLES KINGSTON DMD (OWNER DENTIST)
(207) 439-0779
Entity
Organization
Contact information
Practice address
17 LEVESQUE DR STE 3, ELIOT, ME 03903-2075
(207) 439-0779
(207) 439-0883
Mailing address
17 LEVESQUE DR STE 3, ELIOT, ME 03903-2075
(207) 439-0779
(207) 439-0883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2914
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112670000
—
ME
Enumeration date
04/04/2007
Last updated
04/21/2010
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