Organization
DANIEL R. RAVIN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R. RAVIN D.M.D. (OWNER)
(207) 883-7887
Entity
Organization
Contact information
Practice address
40 HANNAFORD DR, SCARBOROUGH, ME 04074-9057
(207) 883-7887
(207) 883-3202
Mailing address
21 SCHOONER RD, SCARBOROUGH, ME 04074-8775
(207) 885-0878
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3294
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851331250
NPI 1
ME
Enumeration date
05/08/2007
Last updated
08/22/2020
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