Academy Dental PA
NPI #1316955396 in Presque Isle, Maine
Provider Information
- NPI Number
- 1316955396
- Entity Type
- Organization
- Organization Name
- Academy Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 179 ACEDEMY ST
- City
- Presque Isle
- State
- Maine
- ZIP Code
- 04769
- Phone
- (207) 764-3764
Authorized Official
- Name
- SANDI BOUCHARD, DO
- Title
- OFFICE/BUSINESS MANAGER
- Phone
- (207) 764-3764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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