| Lisa A. Slaughter, Dmd,pllc | |
|
62 Portland Rd Ste 41 Kennebunk ME 04043-6650 | |
| (207) 985-3444 | |
| Not Available |
| Full Name | Lisa A. Slaughter, Dmd,pllc |
|---|---|
| Speciality | Dentist |
| Location | 62 Portland Rd Ste 41, Kennebunk, Maine |
| Authorized Official Name and Position | Lisa Slaughter (DENTIST) |
| Authorized Official Contact | 2079853444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Slaughter, Dmd,pllc 62 Portland Rd Ste 41 Kennebunk ME 04043-6650 Ph: (207) 985-3444 | Lisa A. Slaughter, Dmd,pllc 62 Portland Rd Ste 41 Kennebunk ME 04043-6650 Ph: (207) 985-3444 |
| NPI Number | 1215313424 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215313424 | NPI | - | NPPES |
| 1003003633 | Other | NH | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DEN4089 (Maine) | Primary |
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