| Hermon Family Dental, Pa | |
|
2402 Route 2 Suite E Hermon ME 04401-0665 | |
| (207) 848-2555 | |
| (207) 848-9012 |
| Full Name | Hermon Family Dental, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2402 Route 2, Hermon, Maine |
| Authorized Official Name and Position | Benjamin G Phillips (OWNER) |
| Authorized Official Contact | 2078482555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermon Family Dental, Pa 2402 Route 2 Suite E Hermon ME 04401-0665 Ph: (207) 848-2555 | Hermon Family Dental, Pa 2402 Route 2 Suite E Hermon ME 04401-0665 Ph: (207) 848-2555 |
| NPI Number | 1003241654 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 09/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003241654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4141 (Maine) | Primary |