| Tyler J. Gagnon Dmd Pa Llc | |
|
227 Mount Auburn Ave Auburn ME 04210-8521 | |
| (207) 782-3971 | |
| Not Available |
| Full Name | Tyler J. Gagnon Dmd Pa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 227 Mount Auburn Ave, Auburn, Maine |
| Authorized Official Name and Position | Tyler Joseph Gagnon (OWNER) |
| Authorized Official Contact | 2077823971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J. Gagnon Dmd Pa Llc 227 Mount Auburn Ave Auburn ME 04210-8521 Ph: (207) 782-3971 | Tyler J. Gagnon Dmd Pa Llc 227 Mount Auburn Ave Auburn ME 04210-8521 Ph: (207) 782-3971 |
| NPI Number | 1396408191 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396408191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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