Provider Demographics
NPI:1639325640
Name:DREWS DENTAL SERVICES
Entity Type:Organization
Organization Name:DREWS DENTAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOHANN
Authorized Official - Last Name:DREWS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-782-5308
Mailing Address - Street 1:210 SABATTUS ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6347
Mailing Address - Country:US
Mailing Address - Phone:207-782-5308
Mailing Address - Fax:
Practice Address - Street 1:210 SABATTUS ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6347
Practice Address - Country:US
Practice Address - Phone:207-782-5308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-09
Last Update Date:2008-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty