| Penobscot Community Health Center | |
|
242 Brunswick St Old Town ME 04468 | |
| (207) 827-6128 | |
| (207) 827-5533 |
| Full Name | Penobscot Community Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 242 Brunswick St, Old Town, Maine |
| Authorized Official Name and Position | Lori L. Dwyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2074048200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penobscot Community Health Center 1048 Union St Suite 5 Bangor ME 04401-8600 Ph: (207) 945-5247 | Penobscot Community Health Center 242 Brunswick St Old Town ME 04468 Ph: (207) 827-6128 |
| NPI Number | 1215183645 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215183645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Rj Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Goldsmith Ln, Old Town, ME 04468 Phone: 207-827-7179 |