| Doctor Name: | JOHN MARLEY DICKENS |
| NPI Number: | 1437159233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11529 |
| Business Practice Address: | 592 W Main St Waldoboro, ME - 045726030 |
| Business Phone Number: | 2078326394 |
| Business Fax Number: | 2078324392 |
| Mailing Address: | Po Box 680, WALDOBORO |
| State: | ME |
| Postal Code: | 045720680 |
| Phone Number: | 2078326394 |
| Fax Number: | 2078324392 |
| NPI Enumeration Date: | 07/22/2005 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |