Alan J Avtges, DMD

Individual provider Active NPI General Practice Dentistry · Falmouth, ME

NPI 1598881237 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598881237
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3174 (ME)
Practice address
3 Fundy Rd
Falmouth, ME 04105-1796
Phone
(207) 781-2054
Fax
(207) 781-7133
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3174MEMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3174 ME Yes

Addresses

Primary practice location

3 Fundy Rd
Falmouth, ME 04105-1796

Mailing address

3 Fundy Rd
Falmouth, ME 04105-1796
Phone (207) 781-2054

Other providers in Falmouth, ME

All providers in Falmouth, ME · General Practice Dentistry in Maine

Sources for this page

Verify at the official NPI Registry.