Provider Demographics
NPI:1639212897
Name:BEAUDOIN & SCARFAROTTI, PTR
Entity Type:Organization
Organization Name:BEAUDOIN & SCARFAROTTI, PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PTR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARFAROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-282-3928
Mailing Address - Street 1:28 WEST COLE ROAD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005
Mailing Address - Country:US
Mailing Address - Phone:207-282-3928
Mailing Address - Fax:
Practice Address - Street 1:28 WEST COLE ROAD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005
Practice Address - Country:US
Practice Address - Phone:207-282-3928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty