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Individual

DR. GARY R. BADGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS,MS

Contact information

Practice address
716 STEVENS AVE, THE UNIVERSITY OF NEW ENGLAND COLLEGE OF DENTISTRY, PORTLAND, ME 04103-2670
(207) 221-4747
(713) 486-4142
Mailing address
1306 HARPSWELL ISLANDS RD, ORRS ISLAND, ME 04066
(979) 777-6542

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
17315
TX
1223P0221X
Pediatric Dentistry
Primary
2282
ME

Other

Enumeration date
06/15/2005
Last updated
04/29/2021
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