Organization
PENOBSCOT CHILDRENS DENTISTRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DAVID SHENKIN DDS (PEDIATRIC DENTIST)
(207) 947-6733
Entity
Organization
Contact information
Practice address
792 STILLWATER AVE, BANGOR, ME 04401-3617
(207) 947-6733
(207) 947-6760
Mailing address
792 STILLWATER AVE, BANGOR, ME 04401-3617
(207) 947-6733
(207) 947-6760
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3649
ME
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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