| Jetport Denture Center | |
|
530 Roosevelt Trl Windham ME 04062-4901 | |
| (207) 893-1346 | |
| (207) 893-0114 |
| Full Name | Jetport Denture Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 530 Roosevelt Trl, Windham, Maine |
| Authorized Official Name and Position | Kelly Carbone Richardson (PRESIDENT) |
| Authorized Official Contact | 2078931346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jetport Denture Center Po Box 1018 Windham ME 04062-1018 Ph: (207) 893-1346 | Jetport Denture Center 530 Roosevelt Trl Windham ME 04062-4901 Ph: (207) 893-1346 |
| NPI Number | 1649580853 |
|---|---|
| Provider Enumeration Date | 10/21/2010 |
| Last Update Date | 10/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649580853 | NPI | - | NPPES |
| 433189000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5024 (Maine) | Primary |
Advanced Dental Concepts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 744 Roosevelt Trl, Suite 104, Windham, ME 04062 Phone: 207-892-8325 Fax: 207-893-2897 | |
Roosevelt Dental, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Roosevelt Trl, Windham, ME 04062 Phone: 207-894-5580 Fax: 207-894-5590 | |
D.b.a. Windham Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave Ste 2, Windham, ME 04062 Phone: 207-893-2001 Fax: 207-893-2006 | |
Windham Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Commons Ave, Windham, ME 04062 Phone: 207-893-2001 Fax: 207-893-2006 | |
Lifetime Dental Health, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-8548 Fax: 207-892-6651 | |
Windham Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 713 Roosevelt Trl, Windham, ME 04062 Phone: 207-892-3200 |