| Katahdin Valley Health Center | |
|
489 State St Bangor ME 04401-6616 | |
| (207) 973-7000 | |
| (207) 528-2880 |
| Full Name | Katahdin Valley Health Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 489 State St, Bangor, Maine |
| Authorized Official Name and Position | Durward L Humphrey (CEO) |
| Authorized Official Contact | 2075282285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katahdin Valley Health Center Po Box 500 Patten ME 04765-0500 Ph: (207) 528-2285 | Katahdin Valley Health Center 489 State St Bangor ME 04401-6616 Ph: (207) 973-7000 |
| NPI Number | 1356537096 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356537096 | NPI | - | NPPES |
| 431497600 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Katahdin Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Penn Plz, Bangor, ME 04401 Phone: 207-942-0593 Fax: 207-947-5237 | |
Penobscot Community Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-945-5247 | |
Broadway Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 743 Broadway, Bangor, ME 04401 Phone: 207-945-5300 | |
Evergreen Woods Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Mount Hope Ave Ste 610, Bangor, ME 04401 Phone: 207-945-5952 Fax: 207-945-5761 | |
Skye Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 728 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-1900 | |
Mallick Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Cumberland Pl Ste 202, Bangor, ME 04401 Phone: 207-573-1243 | |
Twin Pines Extraction And Denture Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave Ste 6, Bangor, ME 04401 Phone: 207-992-2060 Fax: 207-262-0424 |