Individual
DR. JOHN S LARGEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
885 UNION ST STE 225, BANGOR, ME 04401-3074
(207) 942-6620
(207) 942-6264
Mailing address
885 UNION ST STE 225, BANGOR, ME 04401-3074
(207) 942-6620
(207) 943-6264
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3522
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275642456
NPI
ME
05
—
133160000
—
ME
Enumeration date
10/05/2009
Last updated
10/05/2009
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