Organization
1330 DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G BENNAS JR. DMD (PRESIDENT)
(207) 773-3738
Entity
Organization
Contact information
Practice address
1330 CONGRESS STREET, PORTLAND, ME 04102
(207) 773-3738
(207) 773-5872
Mailing address
1330 CONGRESS STREET, PORTLAND, ME 04102
(207) 773-3738
(207) 773-5872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2654
ME
122300000X
Dentist
Primary
3052
ME
122300000X
Dentist
3251
ME
122300000X
Dentist
3533
ME
122300000X
Dentist
3693
ME
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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