County Roots Childrens Dentistry LLC

NPI #1689494213 in Presque Isle, Maine

Provider Information

NPI Number: 1689494213
Entity Type: Organization
Organization Name: County Roots Childrens Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2024
Last Updated: Oct 17, 2024

Practice Location

Address: 181 ACADEMY ST STE 4
City: Presque Isle
State: Maine
ZIP Code: 04769-3178
Phone: (207) 462-4767

Authorized Official

Name: DR. ERIK ARTHUR JOHNSON, DMD
Title: PEDIATRIC DENTIST
Phone: (207) 551-3304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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