| Sunrise Smiles Llc | |
|
1166 Port Road Machiasport ME 04655 | |
| (207) 259-1129 | |
| Not Available |
| Full Name | Sunrise Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1166 Port Road, Machiasport, Maine |
| Authorized Official Name and Position | Lana T Ingalls (INDEPENDENT DENTAL HYGIENIST) |
| Authorized Official Contact | 2072591129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Smiles Llc Po Box 34 Machiasport ME 04655-0034 Ph: (207) 259-1129 | Sunrise Smiles Llc 1166 Port Road Machiasport ME 04655 Ph: (207) 259-1129 |
| NPI Number | 1518372135 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 06/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518372135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | IPH72 (Maine) | Primary |