Patriot Dental, LLC

NPI #1134599640 in Gray, Maine

Provider Information

NPI Number: 1134599640
Entity Type: Organization
Organization Name: Patriot Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 28, 2015
Last Updated: Sep 28, 2015

Practice Location

Address: 16 MAIN ST
City: Gray
State: Maine
ZIP Code: 04039-9407
Phone: (207) 657-5440

Authorized Official

Name: DR. BRIAN DAVID BOYNTON, D.M.D
Title: PRESIDENT
Phone: (207) 831-0004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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