| Evergreen Woods Dentistry | |
|
700 Mount Hope Ave Ste 610 Bangor ME 04401-5673 | |
| (207) 945-5952 | |
| (207) 945-5761 |
| Full Name | Evergreen Woods Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 Mount Hope Ave Ste 610, Bangor, Maine |
| Authorized Official Name and Position | Brandon Jolley (OWNER/DENTIST) |
| Authorized Official Contact | 5054014923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Woods Dentistry 700 Mount Hope Ave Ste 610 Bangor ME 04401-5673 Ph: (207) 945-5952 | Evergreen Woods Dentistry 700 Mount Hope Ave Ste 610 Bangor ME 04401-5673 Ph: (207) 945-5952 |
| NPI Number | 1104691096 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104691096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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