Organization · Type 2 NPI

Mainehealth

Dental Clinic/Center · Belfast, ME

NPI number 1851869648 Active

Practice location

125 Northport Ave Ste 107
Belfast, ME 04915-6002

Call (207) 338-3368 Map

Fax (207) 338-6207

Mailing address

118 Northport Ave
Belfast, ME 04915-6009

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Belfast

Coastal Medical CareDental Clinic/Center Belfast, ME NPI 1336559228

See all in Belfast →

NPI record

NPI: 1851869648
Entity type: Organization (Type 2)
Issued: Nov 9, 2018
Last updated: Apr 30, 2019
Status: Active

Other names

<unavail>
Coastal Medical Care · doing business as
Coastal Medical Care · doing business as

Authorized official

Lugene Anthony Inzana
Senior Vice President & CFO
(207) 662-3538

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851869648

Mainehealth's National Provider Identifier is 1851869648, issued on Nov 9, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Belfast, ME. The record was last updated on Apr 30, 2019.