| St John Valley Dental Center | |
|
309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 | |
| (207) 728-7557 | |
| (207) 728-7558 |
| Full Name | St John Valley Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 309 Saint Thomas St, Madawaska, Maine |
| Authorized Official Name and Position | Nelson Henry (DENTIST) |
| Authorized Official Contact | 2077287557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Valley Dental Center 309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 Ph: (207) 728-7557 | St John Valley Dental Center 309 Saint Thomas St Suite 103 Madawaska ME 04756-1278 Ph: (207) 728-7557 |
| NPI Number | 1568779957 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 09/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568779957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3697 (Maine) | Secondary |
| 122300000X | Dentist | 3474 (Maine) | Primary |