| Interdent LLC | |
|
12 Shuman Ave Augusta ME 04330-6020 | |
| (207) 623-7580 | |
| Not Available |
| Full Name | Interdent LLC |
|---|---|
| Speciality | Dentist |
| Location | 12 Shuman Ave, Augusta, Maine |
| Authorized Official Name and Position | Glen Frederic Abbott (PRESIDENT) |
| Authorized Official Contact | 2077769776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interdent LLC 12 Shuman Ave Augusta ME 04330-6020 Ph: (207) 623-7580 | Interdent LLC 12 Shuman Ave Augusta ME 04330-6020 Ph: (207) 623-7580 |
| NPI Number | 1992099311 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992099311 | NPI | - | NPPES |
| 435721099 | Other | ME | MAINE CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3757 (Maine) | Primary |
Evergreen Dental Associates LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Western Ave, Augusta, ME 04330 Phone: 207-622-0861 |
Family Dental Practice, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Grove St, Augusta, ME 04330 Phone: 207-622-7022 Fax: 207-626-5361 |
Christopher R Logan, DMD, P.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Western Ave, Augusta, ME 04330 Phone: 207-622-3879 |
Hasenfus Family Dental, LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 Fuller Rd, Augusta, ME 04330 Phone: 207-622-1711 Fax: 207-626-5893 |
Augusta Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Industrial Dr, Augusta, ME 04330 Phone: 207-622-0303 |
State Street Dental Care, P.A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 State St, Augusta, ME 04330 Phone: 207-622-9215 |