| Maine Family Dental Practice | |
|
792 Stillwater Ave Bangor ME 04401 | |
| (207) 947-1166 | |
| (207) 947-6123 |
| Full Name | Maine Family Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 792 Stillwater Ave, Bangor, Maine |
| Authorized Official Name and Position | Travis R Buxton (OWNER/DENTIST) |
| Authorized Official Contact | 2079471166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Family Dental Practice 792 Stillwater Ave Bangor ME 04401-3617 Ph: (207) 947-1166 | Maine Family Dental Practice 792 Stillwater Ave Bangor ME 04401 Ph: (207) 947-1166 |
| NPI Number | 1619398856 |
|---|---|
| Provider Enumeration Date | 12/13/2013 |
| Last Update Date | 09/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619398856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DEN4146 (Maine) | Primary |
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