| Greater Portland Endodontics Pa | |
|
1330 Congress St Portland ME 04102-2144 | |
| (207) 879-0010 | |
| Not Available |
| Full Name | Greater Portland Endodontics Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1330 Congress St, Portland, Maine |
| Authorized Official Name and Position | Daniel C Fackrell (ENDODONTIST) |
| Authorized Official Contact | 2078790010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Portland Endodontics Pa 9 Holly Dr Cumberland ME 04021-3950 Ph: (860) 716-6856 | Greater Portland Endodontics Pa 1330 Congress St Portland ME 04102-2144 Ph: (207) 879-0010 |
| NPI Number | 1316474802 |
|---|---|
| Provider Enumeration Date | 05/16/2017 |
| Last Update Date | 05/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316474802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4291 (Maine) | Primary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
Mainehealth Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-871-4078 | |
Juno Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave Ste A, Portland, ME 04102 Phone: 207-773-2150 | |
Alexandra Y Peacock Cathcart Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Street, Portland, ME 04103 Phone: 207-797-7433 Fax: 207-797-7720 | |
Aspen Dental Of Maine Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave, Portland, ME 04102 Phone: 207-773-2150 | |
Arc Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Ave, Portland, ME 04102 Phone: 207-772-4359 | |
Michael Bufo, D.m.d. Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Avenue, Suite 1, Portland, ME 04102 Phone: 207-772-4359 Fax: 207-772-4990 |