| Mark Diamond DDS LLC | |
|
500 Enterprise Dr Scarborough ME 04074-7646 | |
| (207) 883-4285 | |
| (207) 883-9891 |
| Full Name | Mark Diamond DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Enterprise Dr, Scarborough, Maine |
| Authorized Official Name and Position | Mark John Diamond (OWNER) |
| Authorized Official Contact | 2078834285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Diamond DDS LLC 500 Enterprise Dr Scarborough ME 04074-7646 Ph: (207) 883-4285 | Mark Diamond DDS LLC 500 Enterprise Dr Scarborough ME 04074-7646 Ph: (207) 883-4285 |
| NPI Number | 1174732937 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174732937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3321 (Maine) | Primary |
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