Unknown Individual – Dentist, NPI 1083697239
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5, Catching Cove Road, Northport, Waldo County, Maine, 04849, United States
NORTHPORT, ME 048493053
Phone: (508) 481-6100
Fax: (508) 485-8734
Type: Mailing
11, Main Street, Southborough, Worcester County, Massachusetts, 01772, United States
SUITE 2
SOUTHBOROUGH, MA 017721661
Phone: (508) 481-6100
Fax: (508) 485-8734
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04849)
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