Ellsworth Bucksport Dental Associates

NPI #1679784482 in Ellsworth, Maine

Provider Information

NPI Number: 1679784482
Entity Type: Organization
Organization Name: Ellsworth Bucksport Dental Associates
Primary Specialty: Dentist
Enumeration Date: May 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 325 MAIN ST
City: Ellsworth
State: Maine
ZIP Code: 04605-1511
Phone: (207) 667-7117

Authorized Official

Name: MRS. JODI LOUISE SAWYER
Title: OFFICE MANAGER
Phone: (207) 667-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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