Organization
QUINTESSENCE, LLC
Active
Parent organization
BUCKSPORT DENTISTRY
Other names
Bucksport Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUCKSPORT DENTISTRY
Authorized official
DR. ROBERT ATWELL DDS (OWNER)
(207) 469-2912
Entity
Organization
Contact information
Practice address
154 MAIN ST, BUCKSPORT, ME 04416
(207) 469-2912
(207) 469-2912
Mailing address
PO BOX 1898, BUCKSPORT, ME 04416-1898
(207) 469-2912
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4420
ME
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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