Penobscot Community Health Center

NPI #1225454531 in Jackman, Maine

Provider Information

NPI Number: 1225454531
Entity Type: Organization
Organization Name: Penobscot Community Health Center
Primary Specialty: Dental Hygienist
Enumeration Date: Mar 11, 2014
Last Updated: Aug 6, 2018

Practice Location

Address: 606 MAIN ST
City: Jackman
State: Maine
ZIP Code: 04945
Phone: (207) 945-5247

Authorized Official

Name: LORI L. DWYER, ESQ.
Title: PRESIDENT AND CEO
Phone: (207) 992-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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