| Gannett Drive Dental Pllc | |
|
324 Gannett Dr Ste 500 South Portland ME 04106-3361 | |
| (207) 253-5600 | |
| Not Available |
| Full Name | Gannett Drive Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 324 Gannett Dr Ste 500, South Portland, Maine |
| Authorized Official Name and Position | Jennifer Gagnon (OWNER) |
| Authorized Official Contact | 6033875658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gannett Drive Dental Pllc 10 Susan Ave Scarborough ME 04074-9726 Ph: (603) 387-5658 | Gannett Drive Dental Pllc 324 Gannett Dr Ste 500 South Portland ME 04106-3361 Ph: (207) 253-5600 |
| NPI Number | 1710755590 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710755590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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