Organization
OAKES, LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN TIMOTHY OAKES DMD (OWNER)
(207) 775-1551
Entity
Organization
Contact information
Practice address
171 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2310
(207) 775-1551
(207) 775-3094
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4325
ME
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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