| Waterboro Dentistry | |
|
813b Main St Waterboro ME 04087-3084 | |
| (207) 247-3511 | |
| Not Available |
| Full Name | Waterboro Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 813b Main St, Waterboro, Maine |
| Authorized Official Name and Position | Valerie Lariviere (OWNER) |
| Authorized Official Contact | 2072473511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterboro Dentistry Po Box 378 Waterboro ME 04087-0378 Ph: (207) 247-3511 | Waterboro Dentistry 813b Main St Waterboro ME 04087-3084 Ph: (207) 247-3511 |
| NPI Number | 1164206553 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164206553 | NPI | - | NPPES |
| DEN4703 | Other | ME | DENTAL LICENSE |
| ME2821 | Other | ME | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |