Organization
CREATIVE DENTAL SOLUTIONS LLC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M SEVEY D.M.D. (SOLE MEMBER)
(207) 942-3000
Entity
Organization
Contact information
Practice address
1407 BROADWAY, BANGOR, ME 04401-2403
(207) 942-3000
(207) 992-4054
Mailing address
1407 BROADWAY, BANGOR, ME 04401-2403
(207) 942-3000
(207) 992-4054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3269
ME
Other
Enumeration date
06/04/2007
Last updated
09/10/2013
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