Organization
CASTLEBERRY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS C CASTLEBERRY DMD (OWNER)
(207) 374-5538
Entity
Organization
Contact information
Practice address
382 STATE ST, ELLSWORTH, ME 04605-3330
(207) 374-5538
(207) 613-2424
Mailing address
PO BOX 29, ELLSWORTH, ME 04605-0029
(207) 374-5538
(207) 613-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/04/2016
Last updated
02/26/2025
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