Individual
NICHOLAS KEITH ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 NARRAGANSETT TRL, BUXTON, ME 04093-6505
(207) 929-3900
Mailing address
440 NARRAGANSETT TRAIL, BUXTON, ME 04093
(207) 929-3900
(207) 929-3907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411893
VA
1223G0001X
General Practice Dentistry
Primary
DEN4090
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497091342
DENTISTRY
ME
Enumeration date
03/19/2008
Last updated
05/14/2024
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