Provider Demographics
NPI:1598991622
Name:SMILE AGAIN DENTURES, INC.
Entity Type:Organization
Organization Name:SMILE AGAIN DENTURES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LD
Authorized Official - Phone:207-514-0660
Mailing Address - Street 1:801 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-1600
Mailing Address - Country:US
Mailing Address - Phone:207-514-0660
Mailing Address - Fax:207-514-0660
Practice Address - Street 1:801 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1600
Practice Address - Country:US
Practice Address - Phone:207-514-0660
Practice Address - Fax:207-514-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty