Organization Name: | COMMUNITY DENTAL CENTER |
NPI Number: | 1235553413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA J. HARDING (VICE PRESIDENT, FINANCE & SUPPORT) |
Mailing Address: | 10 Wayman Ln Bar Harbor |
State: | ME US |
Postal Code: | 046091625 |
Phone Number: | 2072442888 |
Fax Number: | 2072440490 |
NPI Enumeration Date: | 02/10/2014 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |