Penobscot Childrens Dentistry Associates in Bangor - Pediatric Dentistry
Penobscot Childrens Dentistry Associates - NPI 1285854836
Penobscot Childrens Dentistry Associates is a Pediatric Dentistry in Bangor, Maine. Penobscot Childrens Dentistry Associates practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Penobscot Childrens Dentistry Associates is 1285854836. The last update date is 2020-08-22.
Penobscot Childrens Dentistry Associates's current location address is 792 Stillwater Ave, Bangor, Maine. You can contact this provider via phone number 2079476733 and fax number 2079476760. The mailing address for Penobscot Childrens Dentistry Associates is 792 Stillwater Ave, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penobscot Childrens Dentistry Associates |
|---|---|
| Address | 792 Stillwater Ave, Bangor, Maine |
| Phone Number | 2079476733 |
| Fax Number | 2079476760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Shenkin David Jonathan |
| Credentials | DDS |
| Telephone Number | 2079476733 |
NPI Number Detail
| NPI Number | 1285854836 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 792 Stillwater Ave |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013617 |
| Phone Number | 2079476733 |
| Fax Number | 2079476760 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3649 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Penobscot Childrens Dentistry Associates by the Centers for Medicare & Medicaid Services?
The Penobscot Childrens Dentistry Associates has been issued the NPI (National Provider Identifier) 1285854836, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Penobscot Childrens Dentistry Associates's facilities are situated?
The facilities of Penobscot Childrens Dentistry Associates are physically located at the following address: 792 Stillwater Ave, Bangor, ME, 44013617.
What is the Penobscot Childrens Dentistry Associates's specialty and taxonomy code?
The Penobscot Childrens Dentistry Associates's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date was the 1285854836 assigned to Penobscot Childrens Dentistry Associates?
The Penobscot Childrens Dentistry Associates was issued its 1285854836 on 2007-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Penobscot Childrens Dentistry Associates most recently updated or revised?
The information pertaining to Penobscot Childrens Dentistry Associates, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.