| Rj Dental Pa | |
|
15 Goldsmith Ln Old Town ME 04468-1489 | |
| (207) 827-7179 | |
| Not Available |
| Full Name | Rj Dental Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15 Goldsmith Ln, Old Town, Maine |
| Authorized Official Name and Position | Ryan Michael Jeffrey (DENTIST) |
| Authorized Official Contact | 2079079247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rj Dental Pa 15 Goldsmith Ln Old Town ME 04468-1489 Ph: (207) 827-7179 | Rj Dental Pa 15 Goldsmith Ln Old Town ME 04468-1489 Ph: (207) 827-7179 |
| NPI Number | 1235896101 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235896101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Penobscot Community Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 Brunswick St, Old Town, ME 04468 Phone: 207-827-6128 Fax: 207-827-5533 |