Organization
FREEPORT DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GOOLD STROUT D.D.S. (PRESIDENT)
(207) 729-7788
Entity
Organization
Contact information
Practice address
46 MALLETT DR, FREEPORT, ME 04032-1313
(207) 865-3934
(207) 865-4590
Mailing address
46 MALLETT DR, FREEPORT, ME 04032-1313
(207) 865-3934
(207) 865-4590
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2007
Last updated
08/22/2020
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