| Hasenfus Family Dental, Llc | |
|
41 Fuller Rd Augusta ME 04330-4910 | |
| (207) 622-1711 | |
| (207) 626-5893 |
| Full Name | Hasenfus Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 41 Fuller Rd, Augusta, Maine |
| Authorized Official Name and Position | Nicole A Hasenfus (DENTIST) |
| Authorized Official Contact | 2076221711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hasenfus Family Dental, Llc 41 Fuller Rd Augusta ME 04330-4910 Ph: (207) 622-1711 | Hasenfus Family Dental, Llc 41 Fuller Rd Augusta ME 04330-4910 Ph: (207) 622-1711 |
| NPI Number | 1073040184 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073040184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN4370 (Maine) | Primary |
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