Provider Demographics
NPI:1609961622
Name:ROBERT D LIMOGES D.M.D.,P.A.
Entity Type:Organization
Organization Name:ROBERT D LIMOGES D.M.D.,P.A.
Other - Org Name:ADVANCED DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:LIMOGES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:207-784-7355
Mailing Address - Street 1:220 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-5723
Mailing Address - Country:US
Mailing Address - Phone:207-784-7355
Mailing Address - Fax:207-784-3464
Practice Address - Street 1:220 MAIN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-5723
Practice Address - Country:US
Practice Address - Phone:207-784-7355
Practice Address - Fax:207-784-3464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty