Provider Demographics
NPI:1225243082
Name:MICHAEL C. SLOAN, D.D.S.
Entity Type:Organization
Organization Name:MICHAEL C. SLOAN, D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-789-5270
Mailing Address - Street 1:PO BOX 50
Mailing Address - Street 2:
Mailing Address - City:LINCOLNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04849-0050
Mailing Address - Country:US
Mailing Address - Phone:207-789-5270
Mailing Address - Fax:207-789-5273
Practice Address - Street 1:2561 ATLANTIC HIGHWAY
Practice Address - Street 2:
Practice Address - City:LINCOLNVILLE BEACH
Practice Address - State:ME
Practice Address - Zip Code:04849-0050
Practice Address - Country:US
Practice Address - Phone:207-789-5270
Practice Address - Fax:207-789-5273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME33521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty