Penobscot Community Health Center

NPI #1720535651 in Bangor, Maine

Provider Information

NPI Number: 1720535651
Entity Type: Organization
Organization Name: Penobscot Community Health Center
Primary Specialty: Dentist
Enumeration Date: Sep 8, 2016
Last Updated: Aug 6, 2018

Practice Location

Address: 100 MOOSEHEAD BLVD
City: Bangor
State: Maine
ZIP Code: 04401
Phone: (207) 992-2152

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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