Organization
ROBERT A PATENAUDE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A PATENAUDE JR. DMD (DENTIST)
(207) 623-8122
Entity
Organization
Contact information
Practice address
169 WATER STREET, AUGUSTA, ME 04330
(207) 623-8122
(207) 623-3907
Mailing address
169 WATER STREET, AUGUSTA, ME 04330
(207) 623-8122
(207) 623-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10482000
—
ME
Enumeration date
05/01/2007
Last updated
08/22/2020
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