Organization
COMMUNITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY PELKEY (BILLING COORDINATOR)
(207) 874-1025
Entity
Organization
Contact information
Practice address
131 FRANKLIN AVE, SUITE 1, FARMINGTON, ME 04938-6715
(207) 779-2659
Mailing address
131 FRANKLIN AVE, SUITE 1, FARMINGTON, ME 04938-6715
(207) 779-2659
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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