Organization
PLOURDE FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY R PLOURDE DMD (DENTIST)
(603) 630-4533
Entity
Organization
Contact information
Practice address
130 CENTRE ST STE 1, BATH, ME 04530-2598
(207) 443-3232
Mailing address
197 PINE ST APT 51, PORTLAND, ME 04102-3535
(603) 630-4533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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