Organization
NORTHERN MAINE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEAGAN THOMPSON DMD (OWNER)
(207) 492-9521
Entity
Organization
Contact information
Practice address
157 MAIN ST, CARIBOU, ME 04736-4160
(207) 492-9521
(207) 492-1497
Mailing address
157 MAIN ST, CARIBOU, ME 04736-4160
(207) 492-9521
(207) 492-1497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518496553
NPI
ME
Enumeration date
07/01/2019
Last updated
07/01/2019
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