| Twin Pines Extraction And Denture Center | |
|
12 Stillwater Ave Ste 6 Bangor ME 04401-3984 | |
| (207) 992-2060 | |
| (207) 262-0424 |
| Full Name | Twin Pines Extraction And Denture Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12 Stillwater Ave Ste 6, Bangor, Maine |
| Authorized Official Name and Position | Joseph R Livingston (OWNER) |
| Authorized Official Contact | 2076598620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Pines Extraction And Denture Center Po Box 45 Orono ME 04473-0045 Ph: (207) 659-8620 | Twin Pines Extraction And Denture Center 12 Stillwater Ave Ste 6 Bangor ME 04401-3984 Ph: (207) 992-2060 |
| NPI Number | 1215505680 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215505680 | NPI | - | NPPES |
| 1184154486 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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