Individual
MICHAEL BRIAN HERSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PA, ROCKPORT, ME 04856-3801
(207) 594-5500
(207) 596-6349
Mailing address
1060 COMMERCIAL ST, GLEN COVE DENTAL ASSOCIATES, PA, ROCKPORT, ME 04856-3801
(207) 594-5500
(207) 596-6349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3440
ME
Other
Enumeration date
09/21/2006
Last updated
03/07/2023
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