Organization · Type 2 NPI
Gannett Drive Dental PLLC
Dental Clinic/Center · South Portland, ME
NPI number
1710755590
Active
Practice location
324 Gannett Dr Ste 500
South Portland, ME 04106-3361
Mailing address
10 Susan Ave
Scarborough, ME 04074-9726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in South Portland
About NPI 1710755590
Gannett Drive Dental PLLC's National Provider Identifier is 1710755590, issued on Dec 12, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Portland, ME. The record was last updated on Dec 12, 2023.