| Mdg Dental Ellsworth Pa Llc | |
|
292 South St Blue Hill ME 04614-6122 | |
| (207) 374-5398 | |
| Not Available |
| Full Name | Mdg Dental Ellsworth Pa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 292 South St, Blue Hill, Maine |
| Authorized Official Name and Position | Michael D Gillins (OWNER) |
| Authorized Official Contact | 2073745398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdg Dental Ellsworth Pa Llc Po Box 6158 Blue Hill ME 04614-6158 Ph: (207) 374-5398 | Mdg Dental Ellsworth Pa Llc 292 South St Blue Hill ME 04614-6122 Ph: (207) 374-5398 |
| NPI Number | 1558966259 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558966259 | NPI | - | NPPES |
| 1528323102 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Blue Hill Family & Cosmetic Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 292 South Street, Blue Hill, ME 04614 Phone: 207-374-5398 Fax: 207-374-3810 | |
Tracy L Smith, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 South St, Blue Hill, ME 04614 Phone: 207-374-5538 Fax: 207-374-2929 |