| High Tide Dental, Pa | |
|
176 Ocean House Rd Cape Elizabeth ME 04107-1172 | |
| (207) 767-3211 | |
| (207) 767-3451 |
| Full Name | High Tide Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 176 Ocean House Rd, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Lucas Homicz (MANAGER) |
| Authorized Official Contact | 2077673211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Tide Dental, Pa 176 Ocean House Rd Cape Elizabeth ME 04107-1172 Ph: (207) 767-3211 | High Tide Dental, Pa 176 Ocean House Rd Cape Elizabeth ME 04107-1172 Ph: (207) 767-3211 |
| NPI Number | 1386018281 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386018281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4237 (Maine) | Primary |
Kareem Abdelaal Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1232 Shore Rd, Cape Elizabeth, ME 04107 Phone: 856-938-9608 | |
Cape Elizabeth Dental Assoc Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1232 A Shore Road, Cape Elizabeth, ME 04107 Phone: 207-799-0760 Fax: 207-741-9177 |