| Organization Name: | STANDISH DENTURE CENTER |
| NPI Number: | 1710283361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL M LEVASSEUR (OWNER/ LICENSED DENTURIST) |
| Mailing Address: | 7 Gretchen Lane Standish |
| State: | ME US |
| Postal Code: | 04084 |
| Phone Number: | 2076422310 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2011 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 292200000X |
| License Number: | 5010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Dental Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist |