Organization
MOUNT DESERT ISLAND HOSPITAL
Active
Other names
Community Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JEAN ABBOTT (DIRECTOR OF MEDICAL STAFF SUPPORT)
(207) 288-5081
Entity
Organization
Contact information
Practice address
4 COMMUNITY LANE, SOUTHWEST HARBOR, ME 04679-4273
(207) 244-2888
(207) 244-0490
Mailing address
10 WAYMAN LN, BAR HARBOR, ME 04609-1625
(207) 288-5082
(207) 288-8620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
1347980001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1347980001
DME SUPPLIER
ME
Enumeration date
09/19/2006
Last updated
10/11/2019
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