| Makemesmile | |
|
242 Main St Yarmouth ME 04096-6714 | |
| (207) 847-0176 | |
| Not Available |
| Full Name | Makemesmile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 242 Main St, Yarmouth, Maine |
| Authorized Official Name and Position | Anthony Russo (OWNER/OPERATOR) |
| Authorized Official Contact | 9177968612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Makemesmile 242 Main St Yarmouth ME 04096-6714 Ph: (207) 847-0176 | Makemesmile 242 Main St Yarmouth ME 04096-6714 Ph: (207) 847-0176 |
| NPI Number | 1760204291 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760204291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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