Individual
JEFFREY ALAN BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
243 US RTE #1, STE #1, SCARBONO, ME 04074
(207) 883-1248
Mailing address
243 US RTE #1, STE #1, SCARBONO, ME 04074
(207) 883-1248
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3212
ME
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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