Southern Maine Pediatric Dentistry

LBN: Southern Maine Pediatric Dentistry
Southern Maine Pediatric Dentistry is an health care organization with primary practice located at 75 John Roberts Rd Suit 10B, South Portland ME 04106-6914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Southern Maine Pediatric Dentistry can be contacted via phone (207) 773-3111, or through Wignall, Whitney Ralston via phone (207) 773-3111.

Contact Information

Primary practice address
75 John Roberts Rd Suit 10B South Portland ME 04106-6914
Phone: (207) 773-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wignall, Whitney Ralston Doctor of Dental Medicine (DMD)
Phone: (207) 773-3111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3767 Maine

Profile Details

NPI number 1184814568
LBN Legal business name Southern Maine Pediatric Dentistry
DBA Doing business as
Authorized official Wignall, Whitney Ralston Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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