Individual
MR. ROBERT R. DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1250 FOREST AVE, PORTLAND, ME 04103-1884
(207) 878-2244
(207) 878-5548
Mailing address
1250 FOREST AVE, PORTLAND, ME 04103-1884
(207) 878-2244
(207) 878-5548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 821
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001377970
UNITED
—
01
—
027296
BLUE CROSS
—
01
—
1040915
AETNA (REF)
—
01
—
1042586
AETNA (BILLING)
—
01
—
131760000
MAINE CARE (BOX 33)
—
01
—
131760199
MAINE CARE (BOX 24)
—
01
—
650015984
RR MEDICARE
—
01
—
6627796
CIGNA
—
01
—
A-135870
HEALTH EOS
—
01
—
AA15471
HARVARD PILGRIM
—
Enumeration date
06/10/2005
Last updated
04/29/2010
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