Advanced Dental Concepts

NPI 1053520478 - Dentist - 122300000X

NPI Details
NPI 1053520478
Enumeration Date 05/22/2007
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STANLEY DONALD STANLEY
Position OWNER
Phone (207) 892-8325
Fax (207) 893-2897
Practice Location
744 ROOSEVELT TRL
SUITE 104
WINDHAM ME, 04062-5282, US
Phone (207) 892-8325
Fax (207) 893-2897
Business Location
744 ROOSEVELT TRL
SUITE 104
WINDHAM ME, 04062-5282, US
Phone (207) 892-8325
Fax (207) 893-2897
Toxanomy
Taxonomy Code 122300000X
License State Maine
License Number 2867
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According to our database, Advanced Dental Concepts NPI is 1053520478, taxonomy code is 122300000X and license number is 2867, license state is located at Maine. Advanced Dental Concepts physically located at 744 Roosevelt Trl, Windham ME, 04062-5282. NPI Number 1033115704 has the healthcare provider type.

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1053520478 NPI number is provided on an as is basis without warranty of any kind. 1053520478 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dental Concepts are for informational purposes only.