Individual
DR. JOSEPH H WETHERHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
348 US ROUTE 1, FREEPORT, ME 04032-7016
(207) 865-1900
(207) 865-1922
Mailing address
348 US ROUTE 1, FREEPORT, ME 04032-7016
(207) 865-1900
(207) 865-1922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3741
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119860000
—
ME
01
—
1891829735
CORP. NPI
—
Enumeration date
03/20/2007
Last updated
06/18/2015
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