Gannett Drive Dental Pllc
NPI #1710755590 in South Portland, Maine
Provider Information
- NPI Number
- 1710755590
- Entity Type
- Organization
- Organization Name
- Gannett Drive Dental Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 12, 2023
- Last Updated
- Dec 12, 2023
Practice Location
- Address
- 324 GANNETT DR STE 500
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-3361
- Phone
- (207) 253-5600
Authorized Official
- Name
- JENNIFER GAGNON, DMD
- Title
- OWNER
- Phone
- (603) 387-5658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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