Makemesmile

NPI #1760204291 in Yarmouth, Maine

Provider Information

NPI Number: 1760204291
Entity Type: Organization
Organization Name: Makemesmile
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 28, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 242 MAIN ST
City: Yarmouth
State: Maine
ZIP Code: 04096-6714
Phone: (207) 847-0176

Authorized Official

Name: DR. ANTHONY RUSSO, DDS
Title: OWNER/OPERATOR
Phone: (917) 796-8612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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