Provider Demographics
NPI:1124030283
Name:NANCY D SARGENT DDS PA
Entity Type:Organization
Organization Name:NANCY D SARGENT DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-781-4216
Mailing Address - Street 1:251 US ROUTE ONE
Mailing Address - Street 2:FALMOUTH SHOPPING CENTER
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105
Mailing Address - Country:US
Mailing Address - Phone:207-781-4216
Mailing Address - Fax:207-781-4732
Practice Address - Street 1:251 US ROUTE ONE
Practice Address - Street 2:FALMOUTH SHOPPING CENTER
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105
Practice Address - Country:US
Practice Address - Phone:207-781-4216
Practice Address - Fax:207-781-4732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME29241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty