Organization
MID-MAINE DENTAL CENTER, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CHARLES KLASSON DMD (DENTIST)
(207) 873-9600
Entity
Organization
Contact information
Practice address
334 AUGUSTA RD, WINSLOW, ME 04901-7167
(207) 873-9600
(207) 873-5629
Mailing address
334 AUGUSTA RD, WINSLOW, ME 04901-7167
(207) 873-9600
(207) 873-5629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3541
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117880000
—
ME
Enumeration date
05/17/2007
Last updated
09/18/2009
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