Organization
LIFETIME DENTAL HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SAMUEL GREEN D.M.D. (PRESIDENT)
(207) 892-8548
Entity
Organization
Contact information
Practice address
731 ROOSEVELT TRL, WINDHAM, ME 04062-5269
(207) 892-8548
(207) 892-6651
Mailing address
731 ROOSEVELT TRL, WINDHAM, ME 04062-5269
(207) 892-8548
(207) 892-6651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2508
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861477606
NPI-PERSONAL NUMBER
ME
Enumeration date
01/22/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us