| David S. Grody | |
|
2689 N Belfast Ave Augusta ME 04330-0204 | |
| (207) 622-0450 | |
| Not Available |
| Full Name | David S. Grody |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2689 N Belfast Ave, Augusta, Maine |
| Authorized Official Name and Position | David Grody (OWNER) |
| Authorized Official Contact | 2076220450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Grody 2689 N Belfast Ave Augusta ME 04330-0204 | David S. Grody 2689 N Belfast Ave Augusta ME 04330-0204 Ph: (207) 622-0450 |
| NPI Number | 1609048842 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 03/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609048842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3379 (Maine) | Primary |
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