Organization
INTERDENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN FREDERIC ABBOTT II D.D.S. (PRESIDENT)
(207) 776-9776
Entity
Organization
Contact information
Practice address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(207) 623-7580
Mailing address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(207) 623-7580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3757
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435721099
MAINE CARE
ME
Enumeration date
06/02/2011
Last updated
06/02/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us