Provider Demographics
NPI:1518983949
Name:BELDEN, MAURICE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:
Last Name:BELDEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3145
Mailing Address - Country:US
Mailing Address - Phone:207-764-5393
Mailing Address - Fax:207-764-6496
Practice Address - Street 1:176 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3145
Practice Address - Country:US
Practice Address - Phone:207-764-5393
Practice Address - Fax:207-764-6496
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME26721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME113030000OtherMAINE CARE PROVIDER NMBR