Atlantic Orthodontic Center

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · York, ME

NPI 1124125380 · NPPES record last updated Dec 16, 2009

Key facts

NPI
1124125380
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
3676 (ME)
Legal business name
ATLANTIC ORTHODONTIC CENTER
Practice address
11 Brickyard LN
York, ME 03909-1604
Phone
(207) 363-7270
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Dr. Tanya Glidden, DMD,MS
Title
Owner
Phone
(207) 363-7270

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

11 Brickyard Ln
York, ME 03909
Phone (207) 363-7270

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223X0400X 3676 ME Yes

Addresses

Primary practice location

11 Brickyard LN
York, ME 03909-1604

Mailing address

11 Brickyard LN
York, ME 03909-1604
Phone (207) 363-7270

Other providers in York, ME

All providers in York, ME · Orthodontics and Dentofacial Orthopedics Dentistry in Maine

Sources for this page

Verify at the official NPI Registry.