| Organization Name: | NEW ENGLAND DENTURE CENTER |
| NPI Number: | 1750501318 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM F BUXTON (PRESIDENT) |
| Mailing Address: | 12 Stillwater Ave Bangor |
| State: | ME US |
| Postal Code: | 044013984 |
| Phone Number: | 2079416550 |
| Fax Number: | 2079733952 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 5004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |