| David R Kerr | |
|
1601 Congress St Portland ME 04102-2102 | |
| (207) 775-0001 | |
| Not Available |
| Full Name | David R Kerr |
|---|---|
| Speciality | Dentist |
| Location | 1601 Congress St, Portland, Maine |
| Authorized Official Name and Position | David Richard Kerr (OWNER) |
| Authorized Official Contact | 2077750001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Kerr 1601 Congress St Portland ME 04102-2102 Ph: (207) 775-0001 | David R Kerr 1601 Congress St Portland ME 04102-2102 Ph: (207) 775-0001 |
| NPI Number | 1518335892 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518335892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN2946 (Maine) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | DEN2946 (Maine) | Secondary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
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Coastal Family Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Street, Portland, ME 04103 Phone: 207-797-7433 Fax: 207-797-7720 | |
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