Organization
SEBASTICOOK FAMILY DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN L WINSLOW (CEO)
(207) 368-5189
Entity
Organization
Contact information
Practice address
453 MAIN ST, PITTSFIELD, ME 04967-5310
(207) 355-3505
(207) 474-8899
Mailing address
118 MOOSEHEAD TRL, STE 5, NEWPORT, ME 04953-4055
(207) 355-3505
(207) 474-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
08/30/2011
Last updated
09/14/2013
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