Narragansett Trail, LLC
Organization Active NPI Dental Clinic/Center · Buxton, ME
NPI 1861152878 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1861152878
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- NARRAGANSETT TRAIL, LLC
- Practice address
- 175 Narragansett TRL
Buxton, ME 04093-6139 - Phone
- (207) 272-9847
- NPI assigned
- Dec 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Shilo Annis, DMD
- Title
- Owner
- Phone
- (207) 272-9847
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
175 Narragansett TRL
Buxton, ME 04093-6139
Mailing address
5 Midnight LN
Gorham, ME 04038-2376
Phone (207) 272-9847
Other names
- Torry Hill Dental
Other providers in Buxton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.