Organization · Type 2 NPI
Kennebec Valley Family Dentistry
Point of Service · Augusta, ME
NPI number
1114153939
Active
Practice location
269 Water St
Augusta, ME 04330-4645
Fax (207) 623-3440
Mailing address
6 E Chestnut St Ste 420
Augusta, ME 04330-5743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 3095 (ME) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
About NPI 1114153939
Kennebec Valley Family Dentistry's National Provider Identifier is 1114153939, issued on Jun 8, 2009. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Augusta, ME. The record was last updated on Nov 20, 2019.